Healthcare Provider Details

I. General information

NPI: 1538165915
Provider Name (Legal Business Name): JENNIFER ORR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 11/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 NEWTOWN RD STE 219
WARMINSTER PA
18974-5207
US

IV. Provider business mailing address

205 NEWTOWN RD STE 219
WARMINSTER PA
18974-5207
US

V. Phone/Fax

Practice location:
  • Phone: 215-675-8847
  • Fax: 215-675-6534
Mailing address:
  • Phone: 215-675-8847
  • Fax: 215-675-6534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD042655L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: