Individual
DR. JONATHAN H DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 GEIPE RD, SUITE 265, BALTIMORE, MD 21228-4147
(410) 747-7100
(410) 788-7387
Mailing address
9601 PULASKI PARK DR, SUITE 416 ATTENTION CREDENTIALING, BALTIMORE, MD 21220-1409
(410) 933-5678
(410) 933-3923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0063392
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
D0063392
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106438
—
IL
01
—
P00457151
MEDICARE RAILROAD
IL
Enumeration date
05/12/2006
Last updated
06/02/2015
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