Individual
TODD DARRIN JAEBLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7140 CONTEE RD STE 3000, LAUREL, MD 20707-9532
(410) 448-6400
(240) 636-9790
Mailing address
PO BOX 64134, BALTIMORE, MD 21264-4134
(667) 214-2714
(410) 448-6926
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
H83272
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468479
—
LA
01
—
4P962F600
MEDICARE - PTAN
LA
Enumeration date
08/17/2006
Last updated
11/24/2025
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