Individual
JENNIFER LYNN UDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8830 BELAIR RD, SURGICAL PA'S, BALTIMORE, MD 21236-2401
(410) 529-9200
(410) 529-9203
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003596
MD
Other
Enumeration date
10/31/2007
Last updated
03/26/2018
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