Organization
JEFFREY A. LONDON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A, LONDON MD (PRESIDENT)
(248) 646-6659
Entity
Organization
Contact information
Practice address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
(248) 642-8645
Mailing address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
(248) 642-8645
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301040691
MI
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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