Individual
DR. PREETI REBECCA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
10 NORTH GREENE STREET, BALTIMORE VA MEDICAL CENTER, 5C-125 (SURGERY), BALTIMORE, MD 21201
(410) 605-7233
(410) 605-7919
Mailing address
2515 BOSTON ST, # 306, BALTIMORE, MD 21224-4739
(973) 735-3212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0067254
MD
2086S0102X
Surgical Critical Care Physician
D0067254
MD
2086S0127X
Trauma Surgery Physician
D0067254
MD
Other
Enumeration date
07/05/2007
Last updated
04/13/2009
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