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Organization

JEFFREY P TENNER, DO, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY P TENNER DO (PHYSICIAN)
(609) 463-1488
Entity
Organization

Contact information

Practice address
410 S MAIN ST, CAPE MAY COURT HOUSE, NJ 08210-2327
(609) 463-1488
(609) 463-4881
Mailing address
410 S MAIN ST, CAPE MAY COURT HOUSE, NJ 08210-2327
(609) 463-1488
(609) 463-4881

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB48174
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0211084000
AMERIHEALTH
NJ
05
1393901
NJ
01
61144
AETNA
NJ
01
P1130691
OXFORD
NJ
Enumeration date
08/31/2010
Last updated
08/31/2010
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