Provider Demographics
NPI:1538503834
Name:DOYLE, JEFFERSON JAMES (MBBCHIR PHD MHS)
Entity Type:Individual
Prefix:DR
First Name:JEFFERSON
Middle Name:JAMES
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MBBCHIR PHD MHS
Other - Prefix:
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Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:WILMER EYE INSTITUTE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-979-2882
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:WILMER EYE INSTITUTE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-979-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD85445207W00000X
MA270023207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology