# JEFFREY A. LONDON MD PC

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

## Provider details

- **NPI number:** 1861708257
- **Authorized official:** JEFFREY A, LONDON MD (PRESIDENT)
- **Authorized official phone:** (248) 646-6659

## Contact information

- **Practice address:** 2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
- **Practice address phone:** (248) 646-6659
- **Practice address fax:** (248) 642-8645
- **Mailing address:** 2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
- **Mailing address phone:** (248) 646-6659
- **Mailing address fax:** (248) 642-8645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 4301040691 | MI | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 08/24/2010