Provider Demographics
NPI:1477835379
Name:JARDEN, GEORGE HUHN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HUHN
Last Name:JARDEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:HUHN
Other - Last Name:JARDEN
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3100 KAREN DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-7579
Mailing Address - Country:US
Mailing Address - Phone:575-652-7301
Mailing Address - Fax:
Practice Address - Street 1:3100 KAREN DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-7579
Practice Address - Country:US
Practice Address - Phone:575-652-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM70-51208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics