JITTIKOM JANTARASAMI

PRINCE FREDERICK, MD
NPI1881610269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MD  D0017867)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
-- JITTIKOM JANTARASAMI MD
100 HOSPITAL ROAD
PRINCE FREDERICK, MD 20678
Phone number: 410-535-8295
Mailing Address
-- JITTIKOM JANTARASAMI MD
PO BOX 630898
BALTIMORE, MD 21263-0898
Phone number: 800-426-1670