MEDICARE: BETH JENKINS

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	207R00000X	Internal Medicine Physician	OSO12122	PA

General Provider Information

NPI Number	:	1871557306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH JENKINS

Provider Business Mailing Address
First Line	:	969 GREENTREE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	969 GREENTREE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3328
Country	:	US
Telephone Number	:	412-920-0700
Fax Number	:

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	04/06/2021

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Directions to “ BETH JENKINS ” Practice Location

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