Provider Demographics
NPI:1578567277
Name:JEROME, KAREN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:JEROME
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Gender:F
Credentials:MD
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Mailing Address - Street 1:HOLY CROSS HOSPITAL, DEPT. OF CASE MANAGEMENT
Mailing Address - Street 2:1500 FOREST GLEN ROAD
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1484
Mailing Address - Country:US
Mailing Address - Phone:301-754-7425
Mailing Address - Fax:301-754-7468
Practice Address - Street 1:HOLY CROSS HOSPITAL, DEPT. OF CASE MANAGEMENT
Practice Address - Street 2:1500 FOREST GLEN ROAD
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1484
Practice Address - Country:US
Practice Address - Phone:301-754-7425
Practice Address - Fax:301-754-7468
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
MDD0041341207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC001756C13Medicare ID - Type UnspecifiedIND. NUMBER
E95250Medicare UPIN