Individual
JAMAR DUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 DULANEY VALLEY RD, LUTHERVILLE TIMONIUM, MD 21093-2700
(410) 252-4500
Mailing address
6340 DARLINGTON DR, HARRISBURG, PA 17112-2393
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
002695
WV
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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