Individual
JENNIFER KAREN LANDSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9011 CHEVROLET DR, SUITES 1-6, ELLICOTT CITY, MD 21043-4024
(410) 465-7550
(410) 465-7085
Mailing address
9011 CHEVROLET DR, SUITES 1-6, ELLICOTT CITY, MD 21043-4024
(410) 465-7550
(410) 465-7085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0057413
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769903400
—
MD
Enumeration date
04/11/2006
Last updated
10/08/2010
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