Provider Demographics
NPI:1609843242
Name:COX, JENNIFER B (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:B
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4C NORTH AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2330
Mailing Address - Country:US
Mailing Address - Phone:410-638-0239
Mailing Address - Fax:410-638-0282
Practice Address - Street 1:4C NORTH AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2330
Practice Address - Country:US
Practice Address - Phone:410-638-0239
Practice Address - Fax:410-638-0282
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00633182080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM58341OtherCDS
MDBC9440277OtherDEA