Individual
JENNIFER ELLEN PREISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
651 HOLIDAY DR STE 100, PITTSBURGH, PA 15220-2740
(412) 922-8490
(412) 921-1194
Mailing address
651 HOLIDAY DR STE 100, PITTSBURGH, PA 15220-2740
(412) 922-8490
(412) 921-1194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD045204L
PA
208000000X
Pediatrics Physician
Primary
MD045204L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001254517
—
PA
Enumeration date
10/11/2005
Last updated
10/06/2020
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