Individual
DR. JONATHAN A. HENESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6503 SANZO RD APT E, BALTIMORE, MD 21209
(410) 409-3489
Mailing address
6503 SANZO RD APT E, BALTIMORE, MD 21209-2412
(410) 409-3489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P22871
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P22871
MD
Other
Enumeration date
06/25/2008
Last updated
06/19/2018
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