Individual
DR. JASON JEFFREY HEAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061
(410) 787-4000
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D82384
MD
207RP1001X
Pulmonary Disease Physician
Primary
D82384
MD
Other
Enumeration date
04/19/2008
Last updated
11/03/2022
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