Organization
ALLAN D. JENSEN M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN D JENSEN M.D. (PRESIDENT)
(410) 235-1133
Entity
Organization
Contact information
Practice address
200 E 33RD ST, SUITE 426, BALTIMORE, MD 21218-3322
(410) 235-1133
Mailing address
200 E 33RD ST, SUITE 426, BALTIMORE, MD 21218-3322
(410) 235-1133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006271500
—
MD
01
—
4573AD
MEDICARE
MD
Enumeration date
12/06/2010
Last updated
12/06/2010
Update your record
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