Individual
MR. JEREMY WAYNE CUGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2448 HOLLY AVE, SUITE 200, ANNAPOLIS, MD 21401-3148
(410) 295-4941
(410) 295-5207
Mailing address
2448 HOLLY AVE, SUITE 200, ANNAPOLIS, MD 21401-3148
(410) 295-4941
(410) 295-5207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20643
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212822
JOHNS HOPKINS HEALTHCARE
MD
01
—
2228952
FIRST HEALTH NETWORK
MD
01
—
2431344
UNITED HEALTHCARE
MD
01
—
5536592
CCN NETWORK
MD
01
—
6100992
MAMSI LIFE & HEALTH
MD
01
—
618243-05
BLUECROSS BLUESHIELD MD
MD
01
—
624853
NATIONAL CAPITAL PPO
MD
01
—
P00247396
RAILROAD MEDICARE
MD
01
—
T6710010
BCBS OF DC
MD
Enumeration date
08/11/2005
Last updated
08/06/2007
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