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Individual

MR. JOHN B SARGEANT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6000 EXECUTIVE BLVD, STE 201, ROCKVILLE, MD 20852-3803
(301) 816-0020
(301) 816-0334
Mailing address
1939 OLD ANNAPOLIS RD, WOODBINE, MD 21797-8201
(301) 854-6748

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14262
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0129008
AETNA HMO
MD
01
230033
UNITED HEALTHCARE
MD
01
38311
MDIPA/ALLIANCE/MLH/OC
MD
01
4074069
CIGNA
MD
01
4296824
AETNA PPO
MD
01
K366
BC/BS NON PROVIDER#
MD
Enumeration date
06/01/2005
Last updated
07/09/2007
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