Provider Demographics
NPI:1831947829
Name:JENKINTOWN PREVENTATIVE CARE PC
Entity type:Organization
Organization Name:JENKINTOWN PREVENTATIVE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:KRESS MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-887-1121
Mailing Address - Street 1:610 OLD YORK RD
Mailing Address - Street 2:SUITE 70
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-887-3100
Mailing Address - Fax:215-887-1392
Practice Address - Street 1:610 OLD YORK RD
Practice Address - Street 2:SUITE 70
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:215-887-3100
Practice Address - Fax:215-887-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine