Individual
DR. JENNIFER PRICE CORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12501 WILLOWBROOK RD, CUMBERLAND, MD 21502-2569
(301) 759-5000
(301) 759-5000
Mailing address
1025 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 334-7700
(301) 334-7701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0044099
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0044099
MEDICAL LICENSE
MD
01
—
M94205
CDS LICENSE GARRETT COUNTY MARYLAND
MD
01
—
M94285
CDS LICENSE ALLEGANY COUNTY MARYLAND
MD
Enumeration date
10/18/2006
Last updated
03/07/2023
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