Individual
DR. JENNIFER L BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1708 W. ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-8600
Mailing address
10755 FALLS RD, SUITE 260, LUTHERVILLE, MD 21093-4515
(410) 583-2955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0056149
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402495800
—
MD
Enumeration date
10/05/2006
Last updated
01/28/2015
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