Individual
LEE JONATHAN MUSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 1045, CHEVY CHASE, MD 20815-4404
(301) 986-4774
Mailing address
14405 CORAL GABLES WAY, NORTH POTOMAC, MD 20878-3802
(301) 340-2775
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
D33357
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
D33357
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MU716924
BCBS PENN
—
Enumeration date
03/11/2007
Last updated
08/21/2013
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