Individual
ALLAN DAVID JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 EAST 33RD ST, SUITE 426, BALTIMORE, MD 21218-3381
(410) 235-1133
(410) 235-1267
Mailing address
200 EAST 33RD ST, SUITE 426, BALTIMORE, MD 21218-3381
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D8901
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006271500
—
MD
Enumeration date
12/13/2005
Last updated
07/06/2010
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