Jeannine Mogavero Theoret
Pediatrician Pediatric Endocrinologist
49 Old Solomons Island Rd Ste 303
Annapolis
, Maryland 21401-3870
Jeannine Mogavero Theoret
Pediatrician Pediatric Endocrinologist
49 Old Solomons Island Rd Ste 303
Annapolis
, Maryland 21401-3870
(617) 901-1316
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Jeannine Mogavero Theoret
- 424 Severnside Dr
- Severna Park, MD
- Zip : 21146-2200
- Phone : (617) 901-1316
Second Address
- Jeannine Mogavero Theoret
- 49 Old Solomons Island Rd Ste 303
- Annapolis, MD
- Zip : 21401-3870
- Phone : (410) 844-8998
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | D0062774 | MD |
| N | 2080P0205X | Pediatric Endocrinologist | D0062774 | MD |
National Provider Identifier
| NPI | 1437190154 |
|---|---|
| Provider Name | Jeannine Mogavero Theoret |
| First Address | Severna Park, MD 21146-2200 |
| Second Address | Annapolis, MD 21401-3870 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 07/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.