Individual
JULIANA H. J. MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 W CRAIGHILL CHANNEL DR, PERRYVILLE, MD 21903-2523
(443) 309-3126
Mailing address
PO BOX 310, NORTH EAST, MD 21901-0310
(443) 309-3126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D67643
MD
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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