| Jeremy J. Janssen, M.d., P.c. | |
|
11908 Darnestown Rd Suite C North Potomac MD 20878-2295 | |
| (240) 631-1170 | |
| (240) 631-1031 |
| Full Name | Jeremy J. Janssen, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 11908 Darnestown Rd, North Potomac, Maryland |
| Authorized Official Name and Position | Jeremy James Janssen (PRESIDENT) |
| Authorized Official Contact | 2406311170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy J. Janssen, M.d., P.c. 11908 Darnestown Rd Suite C North Potomac MD 20878-2295 Ph: (240) 631-1170 | Jeremy J. Janssen, M.d., P.c. 11908 Darnestown Rd Suite C North Potomac MD 20878-2295 Ph: (240) 631-1170 |
| NPI Number | 1891826392 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/16/2008 |
| Medicare PECOS PAC ID | 1759456031 |
|---|---|
| Medicare Enrollment ID | O20080821000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891826392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0057305 (Maryland) | Primary |
| Provider Name | Jeremy J Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255414371 PECOS PAC ID: 1355414608 Enrollment ID: I20080821000024 |
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