Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | D0083139 | MD |
NPI | 1336582147 |
---|---|
Provider Name | Dr. Nicholas Anthony Jabre |
First Address | Baltimore, MD 21287-0011 |
Second Address | Baltimore, MD 21287-0011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 09/01/2019 |