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Jonathan Glover, ATC
NPI 1013325034 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4403 Frederick Ave
Baltimore, MD 21229 - Phone
- (410) 644-3300
- Fax
- (410) 900-1210
- Organisation at this address
- Evernorth Direct Health Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland