Individual
JEREMY M BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5886 MORNINGBIRD LN, COLUMBIA, MD 21045-3508
(240) 893-1735
Mailing address
5886 MORNINGBIRD LN, COLUMBIA, MD 21045-3508
(240) 893-1735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007377
MD
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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