Individual
JEANNINE MOGAVERO THEORET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 DEFENSE HWY STE 403, ANNAPOLIS, MD 21401-7020
(410) 844-8998
Mailing address
424 SEVERNSIDE DR, SEVERNA PARK, MD 21146-2200
(617) 901-1316
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0062774
MD
2080P0205X
Pediatric Endocrinology Physician
D0062774
MD
Other
Enumeration date
06/10/2006
Last updated
04/01/2026
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