Individual
JAMELAH AELON TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 CATON AVE, MAILBOX 081, BALTIMORE, MD 21229-5201
(443) 703-3200
(443) 703-3201
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(410) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D76332
MD
208000000X
Pediatrics Physician
MD28229
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD28229
STATE LICENSE NUMBER
AL
Enumeration date
08/28/2007
Last updated
11/10/2015
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