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Organization

LINDA M. JEFFERSON, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA M JEFFERSON MD (CEO)
(301) 374-9300
Entity
Organization

Contact information

Practice address
2670 CRAIN HWY, SUITE 410, WALDORF, MD 20601-2806
(301) 374-9300
(301) 374-9469
Mailing address
2670 CRAIN HWY, SUITE 410, WALDORF, MD 20601-2806
(301) 374-9300
(301) 374-9469

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0054004
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
332602100
MD
Enumeration date
10/01/2007
Last updated
06/22/2016
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