Individual
JILL JAYSON LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 RESEARCH BLVD, SUITE 215, ROCKVILLE, MD 20850-3204
(301) 424-3444
(301) 926-0655
Mailing address
11850 W MARKET PL, SUITE P, FULTON, MD 20759-2670
(301) 340-8339
(240) 485-5407
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D0022868
MD
207VG0400X
Gynecology Physician
Primary
D0022868
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526691200
—
MD
Enumeration date
11/08/2005
Last updated
01/11/2017
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