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Individual

JONATHAN IRA EPSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-2660
Mailing address
PO BOX 64478, BALTIMORE, MD 21264-4478
(410) 614-6330

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D30837
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351031000
MD
Enumeration date
07/10/2006
Last updated
02/06/2013
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