Provider Demographics
NPI:1851456818
Name:FLEG, JEROME LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:JEROME
Middle Name:LOUIS
Last Name:FLEG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6701 ROCKLEDGE DR
Mailing Address - Street 2:ROOM 8126
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-7936
Mailing Address - Country:US
Mailing Address - Phone:301-435-0420
Mailing Address - Fax:301-480-3667
Practice Address - Street 1:NATIONAL NAVAL MEDICAL CTR
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-295-4500
Practice Address - Fax:301-295-6616
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0021574207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease