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Individual

JENNIFER CANCINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7211 BANK CT, FREDERICK, MD 21703-8483
(240) 215-6370
Mailing address
PO BOX 1110, UNION BRIDGE, MD 21791-0579
(410) 775-2622
(410) 775-2050

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0058038
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1989337
UNITED
01
2600321
AETNA PVN
01
613037-01
CAREFIRST BCBS MARYLAND
01
W590-0003
CAREFIRST BCBS GHMSI
Enumeration date
08/18/2005
Last updated
04/30/2019
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