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Individual

DR. MICHAEL EDWARD JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
224 FLORENCE RD, HARRINGTON PARK, NJ 07640-1410
(917) 930-0413
(201) 621-0115
Mailing address
224 FLORENCE RD, HARRINGTON PARK, NJ 07640-1410
(917) 930-0413
(201) 621-0115

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
251817
NY
208600000X
Surgery Physician
Primary
25MA08565900
NJ

Other

Enumeration date
04/06/2009
Last updated
06/16/2014
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