Provider Demographics
NPI:1841239696
Name:GRAF, JENNIFER A (DO)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:GRAF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 BELLEVILLE TPKE
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-3802
Mailing Address - Country:US
Mailing Address - Phone:201-991-3838
Mailing Address - Fax:201-998-4643
Practice Address - Street 1:338 BELLEVILLE TPKE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-3802
Practice Address - Country:US
Practice Address - Phone:201-991-3838
Practice Address - Fax:201-998-4643
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07954600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology