Individual
MATTHEW S JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6270 NORTH RIDGE ROAD, MADISON, OH 44057
(440) 428-6225
(440) 428-8226
Mailing address
PO BOX 714328, COLUMBUS, OH 43271-4328
(800) 354-1985
(440) 350-4938
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-081271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2399177
—
OH
Enumeration date
08/21/2006
Last updated
03/01/2021
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