Individual
DR. JACK MATTHEW TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 PENN ST, BALTIMORE, MD 21201-1020
(410) 333-3232
(410) 333-3063
Mailing address
5720 WESTERN SEA RUN, CLARKSVILLE, MD 21029-1665
(410) 531-3825
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
D0055378
MD
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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