Individual
JONATHAN ADAM CORREIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9658 BALTIMORE AVE STE 420, COLLEGE PARK, MD 20740-1358
(301) 220-1930
(301) 220-1906
Mailing address
9658 BALTIMORE AVE STE 420, COLLEGE PARK, MD 20740-1358
(301) 220-1930
(301) 220-1906
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R246603
MD
Other
Enumeration date
09/25/2023
Last updated
05/31/2024
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