Individual
JASHOMAN BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3028 GREENMOUNT AVE, BALTIMORE, MD 21218-3938
(410) 467-6040
Mailing address
1734 MARYLAND AVE, BALTIMORE, MD 21201-5804
(410) 467-6040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D76272
MD
207VE0102X
Reproductive Endocrinology Physician
0101255009
VA
207VE0102X
Reproductive Endocrinology Physician
D76272
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2008
Last updated
05/21/2014
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