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Individual

JULIET E. VANEGMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9733 HEALTHWAY DRIVE, BERLIN, MD 21811
(410) 641-9109
(410) 629-1203
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811
(410) 641-9109

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D0056307
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
406687100
MD
01
P00215721
RAILROAD MEDICARE
Enumeration date
10/19/2005
Last updated
03/14/2012
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