Individual
JEFFREY ALAN POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2 FREDERICK ST, CUMBERLAND, MD 21502-2329
(301) 777-7777
(301) 777-7798
Mailing address
2 FREDERICK ST, CUMBERLAND, MD 21502-2329
(301) 777-7777
(301) 777-7798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0940
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438848800
—
MD
01
—
LV23
CAREFIRST RENDER 61788101
MD
Enumeration date
08/11/2005
Last updated
12/15/2019
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