Individual
JEANETTE JIMENEZ-SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 LAUREL HEIGHTS DR, BRIDGETON, NJ 08302-3635
(856) 455-4800
(856) 451-0650
Mailing address
8 RAINBOW TER, PITTSGROVE, NJ 08318-4039
(856) 455-4800
(856) 451-0650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA58631
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
547850201
—
NJ
Enumeration date
10/03/2006
Last updated
07/08/2007
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