Individual
JEFFREY VARYCK MENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 THOMAS JOHNSON DR, SUITE 200, FREDERICK, MD 21702-4354
(301) 695-8390
Mailing address
PO BOX 1745, SUITE 200, CUMBERLAND, MD 21501-1745
(301) 759-5280
(301) 777-5630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D36477
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26336-1200
—
MD
Enumeration date
10/25/2007
Last updated
09/20/2016
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