Individual provider · Type 1 NPI

Jennifer Lynn Udan

Medical Physician Assistant · Baltimore, MD

NPI number 1811176308 Active

Practice location

8830 Belair Rd, Surgical Pa's
Baltimore, MD 21236-2401

Call (410) 529-9200 Map

Fax (410) 529-9203

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0003596 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1811176308

Jennifer Lynn Udan's National Provider Identifier is 1811176308, issued on Oct 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Mar 26, 2018.