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Individual

JENNIE Y LAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D72198
MD
208M00000X
Hospitalist Physician
D72198
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220103800
MD
01
974403-01
CAREFIRST BC/BS
MD
01
S062-0427
CAREFIRST BC/BS - REGIONAL
MD
Enumeration date
06/01/2008
Last updated
01/13/2016
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