Individual
JENNIFER DIANE MAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2060 N PEARL ST, VINEYARD PRIMARY CARE, NORTH EAST, PA 16428
(814) 877-7711
(814) 877-7715
Mailing address
3699 DOGLEG TRL, ERIE, PA 16510-5965
(814) 572-5866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051409
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02635463
NY MEDICAL ASSISTANCE
NY
01
—
1540501
BLUE SHIELD
PA
Enumeration date
07/14/2005
Last updated
05/17/2018
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