Organization
MID ATLANTIC PSYCHIATRIC PHYSICIANS
Active
Organization
MID ATLANTIC PSYCHIATRIC PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURTIS D JENS M.D. (OWNER)
(717) 299-0582
Entity
Organization
Contact information
Practice address
822 MARIETTA AVE, STE 24, LANCASTER, PA 17603-3239
(717) 299-0582
(717) 394-8930
Mailing address
822 MARIETTA AVE, STE 24, LANCASTER, PA 17603-3239
(717) 299-0582
(717) 394-8930
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD025752E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073781550002
—
PA
01
—
025752-E
MEDICAL LICENSE #
PA
Enumeration date
06/27/2005
Last updated
08/22/2020
Update your record
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