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1891949723
TIMOTHY JACK
BALTIMORE, MD
NPI
1891949723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G85727)
Enumeration Date
2008-11-05
Last Update Date
2024-01-30
Business Address
Dr. TIMOTHY JACK MD
1040 PARK AVE STE 200
BALTIMORE, MD 21201-5634
Phone number: 818-324-8644
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Mailing Address
Dr. TIMOTHY JACK MD
1200 S HANOVER ST UNIT 27157
BALTIMORE, MD 21230-3766
Phone number:
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