Individual
DR. MARY JO R. MINTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8600 LASALLE RD, POTOMAC BUILDING SUITE 105, BALTIMORE, MD 21286-2001
(410) 823-5232
(410) 296-0257
Mailing address
8600 LASALLE RD, POTOMAC BUILDING SUITE 105, BALTIMORE, MD 21286-2001
(410) 823-5232
(410) 296-0257
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0041428
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M32707
CDS
MD
Enumeration date
03/07/2006
Last updated
03/07/2023
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