Individual
JUSTIN JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 ORLEANS ST STE 11379, BALTIMORE, MD 21287-0010
(410) 955-6143
(410) 614-7339
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP00853
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
D74146
MD
Other
Enumeration date
04/20/2007
Last updated
06/22/2022
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