Individual
JENNIFER LIZ PEGUERO TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 849-8046
Mailing address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(813) 453-7164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0083460
MD
Other
Enumeration date
08/20/2014
Last updated
01/04/2019
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