Organization
JOHN WHITTAKER MD LLC
Active
Other names
Pocomoke Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID WHITTAKER MD (PHYSICIAN/OWNER)
(410) 957-7071
Entity
Organization
Contact information
Practice address
1035 OCEAN HWY, POCOMOKE CITY, MD 21851-3052
(410) 957-7071
(410) 297-7942
Mailing address
1035 OCEAN HWY, POCOMOKE CITY, MD 21851-3052
(443) 223-3029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0053262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016280900
—
MD
Enumeration date
10/04/2007
Last updated
12/20/2021
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