Jack R Lichtenstein, MD LLC

NPI #1043288087 in Annapolis, Maryland

Provider Information

NPI Number: 1043288087
Entity Type: Organization
Organization Name: Jack R Lichtenstein, MD LLC
Subpart: Yes (part of a larger organization)
Parent Organization: JACK R LICHTENSTEIN, MD LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 8, 2006
Last Updated: Aug 1, 2008

Practice Location

Address: 205 RIDGELY AVE
City: Annapolis
State: Maryland
ZIP Code: 21401
Phone: (410) 263-6910

Authorized Official

Name: MR. JACK R. LICHTENSTEIN, M.D.
Title: OWNER
Phone: (410) 268-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Rheumatology — Rheumatology	207RR0500X

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