MEDICARE: DR. JOHN DAVID JENNINGS MD

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
1	207XS0106X	Orthopaedic Hand Surgery Physician	25MA10438100	NJ
2	207X00000X	Orthopaedic Surgery Physician	MT203835	PA

General Provider Information

NPI Number	:	1356788160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN DAVID JENNINGS MD

Provider Business Mailing Address
First Line	:	301 LIPPINCOTT DR STE 410
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-4197
Country	:	US
Telephone Number	:	856-983-4263
Fax Number	:	856-341-8496

Provider Business Practice Location Address
First Line	:	239 HURFFVILLE CROSSKEYS RD STE 470A
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-4002
Country	:	US
Telephone Number	:	856-983-4263
Fax Number	:	856-341-8496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	05/19/2026

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