Provider Demographics
NPI:1437328531
Name:DR JOSEPH K JAMARIS , LLC
Entity Type:Organization
Organization Name:DR JOSEPH K JAMARIS , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:K
Authorized Official - Last Name:JAMARIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-768-4644
Mailing Address - Street 1:300 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 226
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5707
Mailing Address - Country:US
Mailing Address - Phone:410-768-4644
Mailing Address - Fax:410-768-4648
Practice Address - Street 1:300 HOSPITAL DR
Practice Address - Street 2:SUITE 226
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5707
Practice Address - Country:US
Practice Address - Phone:410-768-4644
Practice Address - Fax:410-768-4648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014806207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD019NMedicare PIN