Individual
JEFFREY DUNMAN MEWBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE STREET, BALTIMORE, MD 21264-5758
(410) 955-5000
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(109) 336-4234
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
9601003
NC
2085N0700X
Neuroradiology Physician
Primary
D96853
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141E
BCBSNC
NC
05
—
891141E
—
NC
Enumeration date
11/16/2005
Last updated
06/28/2023
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