Provider Demographics
NPI:1831359793
Name:JEUNG, JENNIFER ANN (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:JEUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2451 EDISON BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2340
Mailing Address - Country:US
Mailing Address - Phone:440-703-2100
Mailing Address - Fax:440-210-4549
Practice Address - Street 1:2451 EDISON BLVD STE A
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2340
Practice Address - Country:US
Practice Address - Phone:440-703-2100
Practice Address - Fax:440-210-4549
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.098979207ZP0102X
NH22011207ZP0102X
MI4301507610207ZP0102X
MDD0073515207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology