Individual
JEREMY MAX ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, DIVISION OF EMERGENCY MEDICINE, WASHINGTON, DC 20010-2916
(202) 476-4177
(202) 476-3573
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD043159
DC
Other
Enumeration date
04/04/2012
Last updated
07/17/2015
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