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Contact Information

JENNY L DEPADUA, PA
1020 BALTIMORE PIKE STE 300
GLEN MILLS, PA19342
 Phone: 610-358-2410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNY L DEPADUA · (Female)

NPI # 1710041975
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/21/2006
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0001064
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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