Individual
JILL STACIE RATAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-3052
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 933-4397
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D38401
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530701500
—
MD
Enumeration date
06/04/2006
Last updated
02/06/2014
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