# LINDA M. JEFFERSON, MD PA

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

## Provider details

- **NPI number:** 1922295237
- **Authorized official:** LINDA M JEFFERSON MD (CEO)
- **Authorized official phone:** (301) 374-9300

## Contact information

- **Practice address:** 2670 CRAIN HWY, SUITE 410, WALDORF, MD 20601-2806
- **Practice address phone:** (301) 374-9300
- **Practice address fax:** (301) 374-9469
- **Mailing address:** 2670 CRAIN HWY, SUITE 410, WALDORF, MD 20601-2806
- **Mailing address phone:** (301) 374-9300
- **Mailing address fax:** (301) 374-9469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0054004 | MD | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 06/22/2016
