Provider Demographics
NPI:1437150604
Name:JENG, LINDA JO BONE (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:JO BONE
Last Name:JENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:655 W BALTIMORE ST
Mailing Address - Street 2:BRESSLER 7-043
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1509
Mailing Address - Country:US
Mailing Address - Phone:410-706-4505
Mailing Address - Fax:410-706-6105
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-8040
Practice Address - Fax:443-462-3514
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35083790207SG0201X, 207SG0203X
MDD0076773207SG0201X, 207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)