Individual
DR. JUDITH RUBIN DEJARNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4920 CAMPBELL BLVD, NOTTINGHAM, MD 21236-5916
(410) 933-7600
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101058716
VA
208000000X
Pediatrics Physician
Primary
D31652
MD
208000000X
Pediatrics Physician
MD038482
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406601440
—
MD
Enumeration date
12/27/2006
Last updated
01/10/2022
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