Dr Paul Mark Jennings, DO - Student in an Organized Health Care Education/Training Program in Long Branch, NJ

Dr Paul Mark Jennings, DO is a Student In An Organized Health Care Education/training Program physician based in Long Branch, New Jersey. Dr Paul Mark Jennings is licensed to practice in * (Not Available) (license number ) and his current practice location is 300 2nd Ave, Long Branch, New Jersey. He can be reached at his office (for appointments etc.) via phone at (732) 923-6769.

NPI number for Dr Paul Mark Jennings is 1104313196 and his current mailing address is 593 Eddy St, Providence, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104313196.

Contact Information

Dr Paul Mark Jennings, DO
300 2nd Ave,
Long Branch, NJ 07740-6395
(732) 923-6769
Not Available



Physician's Profile

Full NameDr Paul Mark Jennings
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location300 2nd Ave, Long Branch, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104313196
  • Provider Enumeration Date: 04/16/2018
  • Last Update Date: 03/28/2024

Medical Identifiers

Medical identifiers for Dr Paul Mark Jennings such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104313196NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 25MB11851800 (New Jersey)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Mark Jennings is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Paul Mark Jennings, DO
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 793-2695
Dr Paul Mark Jennings, DO
300 2nd Ave,
Long Branch, NJ 07740-6395

Ph: (732) 923-6769

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