Provider Demographics
NPI:1861994717
Name:MAJDICK, JENNIFER (MA)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:
Last Name:MAJDICK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ORANGE ST APT 522
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3133
Mailing Address - Country:US
Mailing Address - Phone:760-681-9070
Mailing Address - Fax:
Practice Address - Street 1:646 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5322
Practice Address - Country:US
Practice Address - Phone:203-789-5150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program