| Organization Name: | JENNIFER DUPRE' PC |
| NPI Number: | 1770815268 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON DENISE ENGLER (BUSINESS MANAGER) |
| Mailing Address: | 1108 North Bethlehem Pike Spring House |
| State: | PA US |
| Postal Code: | 194770736 |
| Phone Number: | 2157937777 |
| Fax Number: | 2157939972 |
| NPI Enumeration Date: | 02/08/2010 |
| NPI Last Update Date: | 02/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | OS011903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |