Organization
JANE CANTOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE CANTOR (MSW)
(301) 315-2435
Entity
Organization
Contact information
Practice address
932 HUNGERFORD DRIVE, SUITE 5B, ROCKVILLE, MD 20850-1750
(301) 315-2435
(301) 365-6609
Mailing address
7200 LONGWOOD DRIVE, BETHESDA, MD 20817-2122
(301) 315-2435
(301) 365-6609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05801
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
485102100
MEDICARE
MD
05
—
485102100
—
MD
Enumeration date
02/25/2010
Last updated
02/25/2010
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