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Individual

JEREMY SAMUEL BARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-8765
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 550-0925

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D59189
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D59189
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
510502100
MD
Enumeration date
04/19/2006
Last updated
01/31/2014
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