DEBORAH ANTHONY JACK

SILVER SPRING, MD
NPI1750919924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MD  D0097198)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-31
Last Update Date2023-06-18
Business Address
DEBORAH ANTHONY JACK MD
11890 HEALING WAY
SILVER SPRING, MD 20904-7917
Phone number: 240-637-4000
Mailing Address
DEBORAH ANTHONY JACK MD
11013 LAKE VICTORIA LN
BOWIE, MD 20720-4272
Phone number: 240-281-9613