Organization
ANNAPOLIS RHEUMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK JACOB MD (PRESIDENT)
(410) 897-1041
Entity
Organization
Contact information
Practice address
128 LUBRANO DRIVE, 201, ANNAPOLIS, MD 21401
(410) 897-1041
Mailing address
128 LUBRANO DRIVE, 201, ANNAPOLIS, MD 21401
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539401500
—
MD
Enumeration date
07/21/2015
Last updated
07/21/2015
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