Individual
DR. JASMINE MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
174 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4569
(301) 662-2000
(301) 662-2500
Mailing address
174 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4569
(301) 662-2000
(301) 662-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101244373
VA
208600000X
Surgery Physician
Primary
D0073819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331903200
—
MD
Enumeration date
02/12/2009
Last updated
09/02/2020
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