Individual
RUDOLPH JEFFRIES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4565
(410) 766-7602
Mailing address
11301 AMHERST AVE, STE 102, SILVER SPRING, MD 20902-4665
(301) 933-7827
(240) 290-0342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D39590
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075031000
—
MD
Enumeration date
06/13/2006
Last updated
03/02/2021
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