Jeremy S Ennis D.O

NPI 1033270848 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1033270848
Gender Male
Enumeration Date 12/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8901 WISCONSIN AVE
BETHESDA MD, 20889-5600, US
Phone (301) 319-4792
Fax
Business Location
2217 LUZERNE AVE
SILVER SPRING MD, 20910-2138, US
Phone (301) 587-0813
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jeremy S Ennis D.O NPI is 1033270848, taxonomy code is 390200000X Jeremy S Ennis D.O physically located at 8901 Wisconsin Ave, Bethesda MD, 20889-5600. NPI Number Jeremy S Ennis D.O has the Individual type.

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1033270848 NPI number is provided on an as is basis without warranty of any kind. 1033270848 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy S Ennis D.O are for informational purposes only.