Jared Spencer Gennett, MD
Student in an Organized Health Care Education/Training Program in New Brunswick, NJ. Individual provider (NPI-1).
NPI number1982307492
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1982307492
- Entity type
- Individual (NPI-1)
- Name
- Jared Spencer Gennett
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2023
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Robert Wood Johnson Pl # 104New Brunswick, NJ 08901-1928
Phone 732-235-8717
Mailing address
1 Robert Wood Johnson Pl # 104New Brunswick, NJ 08901-1928
Phone 732-235-8717
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