Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D58273 | MD |
N | 208600000X | Surgeon | D58273 | MD |
Y | 2082S0105X | Plastic Hand Surgeon | D0058723 | MD |
N | 2086S0105X | Surgery of the Hand | D0058273 | MD |
N | 2086S0122X | Plastic and Reconstructive Surgery | D0058273 | MD |
NPI | 1497765200 |
---|---|
Provider Name | Dr. Ramon A. Dejesus |
First Address | Bel Air, MD 21014-0845 |
Second Address | Bel Air, MD 21015-5900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 27/12/2021 |