Individual
JENNIFER SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
332172
LA
2085P0229X
Pediatric Radiology Physician
D0083572
MD
2085R0202X
Diagnostic Radiology Physician
Primary
D0083572
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072892200
—
DC
05
—
1750577078
—
VA
05
—
214165500
—
MD
Enumeration date
09/20/2007
Last updated
01/17/2025
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