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NPI Code Detail

MEDICARE: JENNIFER DEIGNAN

MEDICARE: JENNIFER DEIGNAN
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
11041C0700XClinical Social Worker44SC04864800NJ

General Provider Information

NPI Number : 1952538563
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DEIGNAN
Provider Business Mailing Address
First Line : 2100 WESCOTT DR
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4604
Country : US
Telephone Number : 908-788-6401
Fax Number :
Provider Business Practice Location Address
First Line : 2100 WESCOTT DR
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4604
Country : US
Telephone Number : 908-788-6401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2009
Last Update Date : 10/03/2019

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