Organization
JUSPEN ENTERPRISES INCORPORTATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER F JOHNSON M.D. (CEO)
(301) 706-5358
Entity
Organization
Contact information
Practice address
4400 STAMP RD, SUITE 314, TEMPLE HILLS, MD 20748-6716
(301) 702-0047
(301) 702-0841
Mailing address
11703 AMER CT, FORT WASHINGTON, MD 20744-5953
(301) 292-8751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025905700
—
DC
Enumeration date
01/02/2007
Last updated
05/14/2008
Update your record
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