Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 35083790 | OH |
N | 207SG0201X | Clinical Genetics (M.D.) | D0076773 | MD |
NPI | 1437150604 |
---|---|
Provider Name | Dr. Linda Jo Bone Jeng |
First Address | Baltimore, MD 21201-1509 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 17/03/2018 |