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NPI Code Detail

MEDICARE: JENNIFER CONWAY PA

MEDICARE: JENNIFER CONWAY PA
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
1363A00000XPhysician AssistantMA054273PA

General Provider Information

NPI Number : 1750791802
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CONWAY PA
Provider Business Mailing Address
First Line : 249 S 9TH ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1265
Country : US
Telephone Number : 412-697-3260
Fax Number : 412-697-3263
Provider Business Practice Location Address
First Line : 249 S 9TH ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1265
Country : US
Telephone Number : 412-697-3260
Fax Number : 412-697-3263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2014
Last Update Date : 04/29/2014

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Directions to “ JENNIFER CONWAY PA” Practice Location

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