Individual
LINDA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2670 CRAIN HWY, SUITE 410, WALDORF, MD 20601-2806
(301) 374-9300
(301) 374-9469
Mailing address
2670 CRAIN HWY, STE 204, WALDORF, MD 20601-2816
(301) 934-8811
(301) 934-9321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0054044
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405399
UNITED HEALTHCARE
MD
01
—
100431
PRIORITY PARTNERS
MD
01
—
2121023
MAMSI ALLIANCE
MD
05
—
332602100
—
MD
01
—
DB5669
RAILROAD RETIREMENT
MD
01
—
G338 0001
BLUE CROSS
DC
01
—
KCJ9LI
BLUE CROSS
MD
Enumeration date
08/26/2005
Last updated
01/10/2017
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