Individual
DR. JENNIFER S AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, SUITE 202, PHILADELPHIA, PA 19141-3018
(215) 456-8210
(215) 329-1085
Mailing address
5501 OLD YORK RD, SUITE 202, PHILADELPHIA, PA 19141-3018
(215) 456-8210
(215) 329-1085
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD443334
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103127884
—
PA
Enumeration date
06/19/2008
Last updated
01/09/2017
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