Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D0064504 | MD |
NPI | 1003466772 |
---|---|
Provider Name | Dr. Jeanna Marie Piper |
First Address | Germantown, MD 20874-4413 |
Second Address | Germantown, MD 20874-4413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2019 |
Last Update Date | 16/09/2019 |