Individual
JEFFREY FAIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8725 BOLLMAN PL STE 4, SAVAGE, MD 20763-9751
(240) 577-1367
Mailing address
10518 WILLIAM TELL LN, COLUMBIA, MD 21044-2425
(240) 577-1367
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25812
MD
225100000X
Physical Therapist
Primary
25812
MD
Other
Enumeration date
01/06/2016
Last updated
02/24/2022
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