Individual provider · Type 1 NPI
Jennifer Lesley Maw, MD
Specialist · San Jose, CA
NPI number
1609989417
Active
Practice location
3071 Payne Ave
San Jose, CA 95128-4054
Fax (408) 540-5419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A657850 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1609989417
Jennifer Lesley Maw, MD's National Provider Identifier is 1609989417, issued on Aug 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Apr 6, 2009.