Individual
WILLIAM BARA-JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10901 CONNECTICUT AVE, SUITE 100, KENSINGTON, MD 20895-1645
(240) 221-8052
(240) 221-8054
Mailing address
11119 ROCKVILLE PIKE, SUITE 100, ROCKVILLE, MD 20852-3143
(301) 816-9000
(301) 816-0295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0052154
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414111300
—
MD
Enumeration date
10/26/2006
Last updated
06/11/2008
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