Individual
DR. JASON KYLE FEDERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10210 REISTERSTOWN RD, OWINGS MILLS, MD 21117-3606
(410) 902-6776
Mailing address
111 W HIGH ST STE 314, ELKTON, MD 21921-8617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0084148
MD
Other
Enumeration date
03/22/2013
Last updated
09/14/2022
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