Individual
JONATHAN CONRAD D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20010 CENTURY BLVD, SUITE 200, GERMANTOWN, MD 20874-1115
(240) 686-2300
Mailing address
20010 CENTURY BLVD, SUITE 200, GERMANTOWN, MD 20874-1115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101249870
VA
207P00000X
Emergency Medicine Physician
D79880
MD
207P00000X
Emergency Medicine Physician
MD044502
DC
Other
Enumeration date
06/22/2008
Last updated
08/08/2017
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