SearchMaryland103TC2200X

Jacqueline Iseman

NPI 1023295235 · on the registry since 2008 · sole proprietor

Practice

Address
10796 Hickory Ridge Rd
Columbia, MD 21044
Phone
(410) 730-8877
Organisation at this address
Patricia M. Sullivan, Md, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
103TC2200X
103TC2200X
Also registered as
103TB0200X
103TC0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-01-30

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