Individual
DR. GLENN R JAUCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 OLD BRANCH AVE, SUITE D203, CLINTON, MD 20735-1628
(301) 868-1220
(301) 856-3550
Mailing address
7700 OLD BRANCH AVE, SUITE D203, CLINTON, MD 20735-1628
(301) 868-1220
(301) 856-3550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0020824
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032791300
—
MD
Enumeration date
11/04/2005
Last updated
07/21/2022
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