Individual
JEFFREY LANDSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8800 WALTHER BLVD, BALTIMORE, MD 21234-9001
(781) 534-7100
(781) 534-7358
Mailing address
5525 RESEARCH PARK DR FL 4, BALTIMORE, MD 21228-4873
(781) 534-7100
(781) 534-7358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0053115
MD
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
D0053115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022
BCBS
DC
05
—
008203101
—
MD
01
—
0403088
EVERCARE
—
01
—
093NER-614408-04
CAREFIRST BCBS OF MD
—
01
—
093NSE-614408-04
CAREFIRST BCBS OF MD
—
01
—
0943ER-614408-05
CAREFIRST BCBS OF MD
—
05
—
211110100
—
MD
01
—
9676-0019
CAREFIRST BCBS OF DC
—
01
—
KG01ER-61440804
CAREFIRST BCBS OF MD (CCI)
—
01
—
KG01SE-61440804
BCBS
—
01
—
P14924
BCBS OF MD
MD
01
—
T016-0022
CAREFIRST BCBS OF DC (CCI)
—
Enumeration date
07/06/2006
Last updated
12/09/2014
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