Individual provider · Type 1 NPI

Jake Ermolovich, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1639939010 Active

Practice location

600 N Wolfe Street
Baltimore, MD 21264-0010

Call (410) 955-5000 Map

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 955-5000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639939010

Jake Ermolovich, MD's National Provider Identifier is 1639939010, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on May 7, 2024.