Individual
DR. JEREMY J JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 GRANITE PLACE, SUITE 14, GAITHERSBURG, MD 20878-6607
(240) 631-1170
(240) 631-1031
Mailing address
7 GRANITE PLACE, SUITE 14, GAITHERSBURG, MD 20878-6607
(240) 631-1170
(240) 631-1031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0057305
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807801700
—
MD
Enumeration date
10/23/2006
Last updated
01/10/2018
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