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Individual

DR. JEROME ALAN SLAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10 WARREN RD, SUITE 130, COCKEYSVILLE, MD 21030
(410) 628-1066
(410) 683-1354
Mailing address
7402 YORK ROAD, STE 104-105, TOWSON, MD 21204
(410) 825-2443
(410) 321-7040

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
485
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P871
HCVA
Enumeration date
10/10/2005
Last updated
10/16/2007
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