Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | D0057591 | MD |
N | 2086X0206X | Surgical Oncologist | D0057591 | MD |
NPI | 1093725301 |
---|---|
Provider Name | Dr. Jeffrey Paul Muench |
First Address | Rockville, MD 20852-3143 |
Second Address | Rockville, MD 20852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 11/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000370100 | (05) | MD |
G30288 | (02) | MD |