Individual
JENNIFER K. WORMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 FRANKLIN SQUARE DR, ADMINISTRATION, 2 WEST, BALTIMORE, MD 21237-3901
(443) 777-7122
(443) 777-8196
Mailing address
9000 FRANKLIN SQUARE DR, ADMINISTRATION, 2 WEST, BALTIMORE, MD 21237-3901
(443) 777-7122
(443) 777-8196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D66302
MD
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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