Individual
JOHN MILBURN JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8012 COACH ST, POTOMAC, MD 20854-3809
(301) 983-3780
Mailing address
8012 COACH ST, POTOMAC, MD 20854-3809
(301) 983-3780
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
D0060384
MD
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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