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Individual

DR. JANICE MARIE BEAVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2101 EAST JEFFERSON STREET, ROCKVILLE, MD 20852-4908
(301) 816-6425
(301) 816-7115
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6W ATTN THERESA JACKSON, ROCKVILLE, MD 20852-4908
(301) 816-2424
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101034431
VA
207Q00000X
Family Medicine Physician
Primary
D0028076
MD
207Q00000X
Family Medicine Physician
MDO38336
DC

Other

Enumeration date
12/12/2006
Last updated
11/02/2011
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