| Dr. Edwin A. Jensen, D.o., P.a. | |
|
602 S Broadway Camden NJ 08103-1222 | |
| (856) 963-2187 | |
| (856) 225-1913 |
| Full Name | Dr. Edwin A. Jensen, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 602 S Broadway, Camden, New Jersey |
| Authorized Official Name and Position | Edwin Arnt Jensen (PHYSICIAN) |
| Authorized Official Contact | 8569632187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Edwin A. Jensen, D.o., P.a. 602 S Broadway Camden NJ 08103-1222 Ph: (856) 963-2187 | Dr. Edwin A. Jensen, D.o., P.a. 602 S Broadway Camden NJ 08103-1222 Ph: (856) 963-2187 |
| NPI Number | 1972514214 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972514214 | NPI | - | NPPES |
| 2787008 | Medicaid | NJ | |
| 0106612001 | Other | NJ | AMERIHEALTH |
| 32866 | Other | NJ | AMERIGROUP |
| 01000075601 | Other | NJ | AMERICHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB02501900 (New Jersey) | Primary |
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