Individual
DR. JEFFREY STEPHEN IDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, PATHOLOGY BUILDING, BALTIMORE, MD 21287-0005
(410) 955-3980
Mailing address
1928 E PRATT ST, APT. 6, BALTIMORE, MD 21231-1964
(410) 558-1261
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0065370
MD
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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