Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | D14806 | MD |
NPI | 1043285653 |
---|---|
Provider Name | Dr. Joseph K Jamaris |
First Address | Glen Burnie, MD 21061-6902 |
Second Address | Glen Burnie, MD 21061-6902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2006 |
Last Update Date | 27/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B69934 | (02) | MD |