Provider Demographics
NPI:1831294529
Name:MCCALL-HOSENFELD, JENNIFER SUSAN (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:SUSAN
Last Name:MCCALL-HOSENFELD
Suffix:
Gender:F
Credentials:MD, MSC
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Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:MC A410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:PENN STATE HERSHEY COLLEGE OF MEDICINE, MAIL CODE HO34
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-8161
Practice Address - Fax:717-531-7726
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2019-11-19
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Provider Licenses
StateLicense IDTaxonomies
PAMD434223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021878140001Medicaid