Individual
JASON HART ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, MEYER 131, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
3925 BEECH AVE APT 507, BALTIMORE, MD 21211-2265
(410) 227-7161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0064850
MD
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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