Individual
DR. JONATHAN DAVID PHILIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5820 YORK RD, SUITE 102, BALTIMORE, MD 21212-3610
(410) 433-0040
(410) 630-1043
Mailing address
5820 YORK RD, SUITE 102, BALTIMORE, MD 21212-3610
(410) 433-0040
(410) 630-1043
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D36835
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543401701
—
MD
Enumeration date
10/31/2006
Last updated
04/02/2012
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