Individual
JOSEPHINE ELIZABETH DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10806 HICKORY RIDGE RD, COLUMBIA, MD 21044-3622
(410) 715-9990
(410) 715-9993
Mailing address
PO BOX 1237, COLUMBIA, MD 21044-0237
(410) 997-5762
(410) 715-9993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D43967
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593431100
—
MD
Enumeration date
09/20/2006
Last updated
07/21/2022
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