Individual
JEFFREY L UKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2540 CENTREVILLE RD, CENTREVILLE, MD 21617-2681
(410) 758-4432
(410) 758-1938
Mailing address
2540 CENTREVILLE RD, CENTREVILLE, MD 21617-2681
(410) 758-4432
(410) 758-1938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D63747
MD
Other
Enumeration date
06/29/2006
Last updated
08/02/2007
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