Individual
JEANNE MANDELBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, PHC, WASHINGTON, DC 20007-2113
(202) 444-8168
Mailing address
PO BOX 631872, BALTIMORE, MD 21263-1872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21100
DC
Other
Enumeration date
07/15/2005
Last updated
10/24/2007
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