# ALLAN D. JENSEN M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174826671
- **Authorized official:** ALLAN D JENSEN M.D. (PRESIDENT)
- **Authorized official phone:** (410) 235-1133

## Contact information

- **Practice address:** 200 E 33RD ST, SUITE 426, BALTIMORE, MD 21218-3322
- **Practice address phone:** (410) 235-1133
- **Mailing address:** 200 E 33RD ST, SUITE 426, BALTIMORE, MD 21218-3322
- **Mailing address phone:** (410) 235-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 12/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006271500 | — | MD |
| 01 | — | 4573AD | MEDICARE | MD |