Jimenez, Jennifer

Jimenez, Jennifer is an individual health care provider with primary practice located at 61 Davis Ave Suite 1, Neptune NJ 07753-4401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Jimenez, Jennifer can be contacted via phone (732) 776-4860.

Contact Information

Primary practice address
61 Davis Ave Suite 1 Neptune NJ 07753-4401
Phone: (732) 776-4860
Fax: (732) 776-4867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 25MA09326000 New Jersey

Profile Details

NPI number 1073789905
LBN Legal business name Jimenez, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Mar 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073789905 NPPES
New Jersey MEDICAID 0372862

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