Provider Demographics
NPI:1376787994
Name:FORBES, JENNIFER REBECCA HUGHES (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:REBECCA HUGHES
Last Name:FORBES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:REBECCA
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 95000 LB# 7550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-7550
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:91 S JEFFERSON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1037
Practice Address - Country:US
Practice Address - Phone:973-538-6116
Practice Address - Fax:973-538-3712
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09900800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics