Individual
DR. JONATHAN L CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 N CALVERT ST, BALTIMORE, MD 21202-3611
(410) 500-5597
(410) 659-5691
Mailing address
315 N CALVERT ST, BALTIMORE, MD 21202-3611
(410) 500-5597
(410) 659-5691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D45302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131211100
—
MD
Enumeration date
06/14/2006
Last updated
03/23/2012
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