Provider Demographics
NPI:1023153848
Name:JUMP, ALFRED GERARD (MD)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:GERARD
Last Name:JUMP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 FOREST GLEN RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1483
Mailing Address - Country:US
Mailing Address - Phone:301-754-8500
Mailing Address - Fax:301-754-8504
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1483
Practice Address - Country:US
Practice Address - Phone:301-754-8500
Practice Address - Fax:301-754-8504
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD68904207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine