Puck, Jennifer M.

Puck, Jennifer M. is an individual health care provider with primary practice located at 1825 Fouth Street, 6Th Floor Immunology Center, San Francisco CA 94158. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Puck, Jennifer M. can be contacted via phone (415) 502-2090.

Contact Information

Primary practice address
1825 Fouth Street, 6Th Floor Immunology Center San Francisco CA 94158
Phone: (415) 502-2090
Fax: (415) 502-2107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G87720 California
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X G87720 California

Profile Details

NPI number 1871525378
LBN Legal business name Puck, Jennifer M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 5th, 2015 - 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 1871525378 NPPES
California MEDICAID 00G877200

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