Individual
JONATHAN MARTIN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
621 W LOMBARD ST, BALTIMORE, MD 21201-1512
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R217046
MD
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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