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NPI Code Detail

MEDICARE: DR. JEFFREY P TENNER DO

MEDICARE: DR. JEFFREY P TENNER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician25MB04817400NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11088731OTHERNJHORIZON NJ HEALTH
24645953OTHERNJAETNA
3F17387OTHERNJF17387
4P1130691OTHERNJOXFORD
50211084000OTHERNJAMERIHEALTH
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7223579863OTHERNJHORIZON

General Provider Information

NPI Number : 1235134784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY P TENNER DO
Provider Business Mailing Address
First Line : 1 FEDERAL ST STE 200
Second Line :
City : CAMDEN
State : NJ
Zip : 08103-1088
Country : US
Telephone Number : 848-288-6935
Fax Number : 732-790-0107
Provider Business Practice Location Address
First Line : 2 STONE HARBOR BLVD
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-2138
Country : US
Telephone Number : 609-463-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/17/2025

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