Individual
JEANETTE T NAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5755 CEDAR LN, HOWARD COUNTY GENERAL HOSPITAL, COLUMBIA, MD 21044-2912
(410) 740-7825
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0056399
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511507800
—
MD
01
—
KX 46 / 616307-04
BC / BS OF MD
MD
01
—
S 185 / 0026
BLUECHOICE
MD
Enumeration date
06/10/2006
Last updated
11/06/2013
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