Genova, Jacqueline K

Genova, Jacqueline K is an individual health care provider with primary practice located at 1503 Lansdowne Ave Ste 3002 Lansdowne Park Pediatrics, Darby PA 19023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Genova, Jacqueline K can be contacted via phone (610) 237-4995.

Contact Information

Primary practice address
1503 Lansdowne Ave Ste 3002 Lansdowne Park Pediatrics Darby PA 19023
Phone: (610) 237-4995
Fax: (610) 237-7311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD068318L Pennsylvania

Profile Details

NPI number 1164497947
LBN Legal business name Genova, Jacqueline K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164497947 NPPES
Other 5611580 CIGNA
Other 30008552 CIGNA
MEDICAID 1008879940001 CIGNA
Other 2258915000 CIGNA
Other GE1579643 CIGNA
Other 3248072 CIGNA

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