Individual
DR. MICHAEL RICHARD JABLONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E 33RD ST, BALTIMORE, MD 21218-6789
(443) 290-6514
Mailing address
PO BOX 22389, PMB 82739, NASHVILLE, TN 37202
(866) 315-2626
(410) 328-7595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D41812
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315761000
—
MD
01
—
S062-0063
CAREFIRST BC/BS
MD
Enumeration date
03/09/2007
Last updated
12/12/2023
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