Individual
JEREMY SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
624 N BROADWAY, ROOM 351, BALTIMORE, MD 21205-1900
(410) 955-3119
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D40367
MD
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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