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Individual

JACQUELINE BIRKNESS-GARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(717) 715-7904
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-4399

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D88513
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D88513
LICENSE
MD
Enumeration date
06/20/2016
Last updated
06/20/2023
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