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Individual

CAROLYN MULVEY JENKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0460
(410) 955-0035
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036152138
IL
207Y00000X
Otolaryngology Physician
Primary
D91327
MD

Other

Enumeration date
02/07/2013
Last updated
05/29/2021
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