Individual
DR. JEROME SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 BESTGATE RD, SUITE 208, ANNAPOLIS, MD 21401-3091
(410) 897-0822
(410) 897-0095
Mailing address
PO BOX 62681, BALTIMORE, MD 21264-2681
(443) 481-6577
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0056089
MD
207RC0000X
Cardiovascular Disease Physician
Primary
D0056089
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074931101
—
MD
Enumeration date
08/15/2007
Last updated
10/21/2013
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