Provider Demographics
NPI:1982962536
Name:WHARTON, JEFFREY M (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:WHARTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1447 YORK RD
Mailing Address - Street 2:KAISER PERMANENTE TOWSON MEDICAL CENTER
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6017
Mailing Address - Country:US
Mailing Address - Phone:410-339-5500
Mailing Address - Fax:410-339-5691
Practice Address - Street 1:655 WATKINS MILL RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3301
Practice Address - Country:US
Practice Address - Phone:240-633-4000
Practice Address - Fax:410-339-5691
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2021-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD79399207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine