Susquehanna Ob-gyn P A

NPI 1104818871 - Specialist - 174400000X

NPI Details
NPI 1104818871
Enumeration Date 08/18/2005
Last Updated 04/17/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JON JOSEPH JON
Position MANAGING PHYSICIAN
Phone (410) 939-3121
Fax (410) 939-8278
Practice Location
308 N UNION AVE
HAVRE DE GRACE MD, 21078-2825, US
Phone (410) 939-3121
Fax (410) 939-8278
Business Location
520 UPPER CHESAPEAKE DR
SUITE 301
BEL AIR MD, 21014-4339, US
Phone (443) 643-4300
Fax (443) 643-4303
Toxanomy
Taxonomy Code 174400000X
License State Maryland
License Number D0033079
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According to our database, Susquehanna Ob-gyn P A NPI is 1104818871, taxonomy code is 174400000X and license number is D0033079, license state is located at Maryland. Susquehanna Ob-gyn P A physically located at 308 N Union Ave, Havre De Grace MD, 21078-2825. NPI Number 1033115704 has the healthcare provider type.

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1104818871 NPI number is provided on an as is basis without warranty of any kind. 1104818871 is maintained by the National Plan & Provider Enumeration System. The contents of Susquehanna Ob-gyn P A are for informational purposes only.