JACK D BLAINE

BETHESDA, MD
NPI1720139199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MD  D0004502)
Enumeration Date2007-01-14
Last Update Date2007-07-08
Business Address
Dr. JACK D BLAINE M.D.
4400 E WEST HWY SUITE 225
BETHESDA, MD 20814-4524
Phone number: 301-983-4493
Mailing Address
Dr. JACK D BLAINE M.D.
10821 LARKMEADE LN
POTOMAC, MD 20854-2704
Phone number: 301-983-4493
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