# JACKSON MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1215189592
- **Authorized official:** DR. RONJEET KONDA REDDY MD (PHYSICIAN)
- **Authorized official phone:** (352) 895-0855

## Contact information

- **Practice address:** 8322 BELLONA AVE, SUITE 330, TOWSON, MD 21204-2065
- **Practice address phone:** (401) 825-6945
- **Mailing address:** 801 KEY HWY, APT\#339, BALTIMORE, MD 21230-3976
- **Mailing address phone:** (352) 895-0855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | D0074525 | MD | Yes |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 01/10/2013