Individual
BERNARD GEORGES JAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MASON LORD DR STE 416, BALTIMORE, MD 21224-3057
(410) 550-1800
(410) 550-7950
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0058306
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43420100
—
MD
01
—
61597105
BLUE SHIELD
MD
Enumeration date
06/27/2005
Last updated
11/27/2024
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