Individual
DR. JONATHAN DAVID PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S PACA ST, 6TH FLOOR, SUITE 300, BALTIMORE, MD 21201-1642
(410) 448-6400
Mailing address
110 S PACA ST, 6TH FLOOR, SUITE 300, BALTIMORE, MD 21201-1642
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0079932
MD
Other
Enumeration date
05/07/2009
Last updated
09/21/2015
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