Provider Demographics
NPI:1205851193
Name:SHERWOOD, JENNIFER BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BETH
Last Name:SHERWOOD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 E LANCASTER AVE
Mailing Address - Street 2:361 LANKENAU MEDICAL BUILDING EAST
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:610-649-6420
Mailing Address - Fax:610-649-4689
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:361 LANKENAU MEDICAL BUILDING EAST
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-649-6420
Practice Address - Fax:610-649-4689
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2009-12-04
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Provider Licenses
StateLicense IDTaxonomies
PAMD064958L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD064958LOtherMEDICAL LICENSE