Jessica Dawn Close D.O.

NPI 1699978866 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1699978866
Gender Female
Enumeration Date 06/06/2007
Last Updated 09/18/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
11110 MEDICAL CAMPUS RD
SUITE 249
HAGERSTOWN MD, 21742-6700, US
Phone (301) 714-4100
Fax (301) 714-4101
Business Location
11110 MEDICAL CAMPUS RD
SUITE 249
HAGERSTOWN MD, 21742-6700, US
Phone (301) 714-4100
Fax (301) 714-4101
Toxanomy
Taxonomy Code 207V00000X
License State West Virginia
License Number 2267
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According to our database, Dr. Jessica Dawn Close D.O. NPI is 1699978866, taxonomy code is 207V00000X and license number is 2267, license state is located at West Virginia. Jessica Dawn Close D.O. physically located at 11110 Medical Campus Rd, Hagerstown MD, 21742-6700. NPI Number Jessica Dawn Close D.O. has the Individual type.

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1699978866 NPI number is provided on an as is basis without warranty of any kind. 1699978866 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Dawn Close D.O. are for informational purposes only.