Organization
JASSI PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRAN JASSI (OFFICE MANAGER)
(443) 410-3161
Entity
Organization
Contact information
Practice address
325 HOSPITAL DR STE 205, GLEN BURNIE, MD 21061-5807
(443) 410-3161
(443) 410-3199
Mailing address
325 HOSPITAL DR STE 205, GLEN BURNIE, MD 21061-5807
(443) 410-3161
(443) 410-3199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68100400
—
MD
Enumeration date
01/16/2019
Last updated
07/09/2021
Update your record
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