Individual
JENNA VANLIERE CANZONIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, N3E09, BALTIMORE, MD 21201-1544
(410) 328-5756
(410) 328-0267
Mailing address
22 S GREENE ST, N3E09, BALTIMORE, MD 21201-1544
(410) 328-5756
(410) 328-0267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0076060
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2010
Last updated
06/24/2013
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