Search › Maryland › Psychiatry Physician
Jack Blaine, M.D
NPI 1720139199 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4400 E West Hwy
Suite 225
Bethesda, MD 20814 - Phone
- (301) 983-4493
- Fax
- (301) 983-9379
- Organisation at this address
- Lisa Genser, Lcsw-C
Megan M. Gleason Llc
Jessica Gottlieb Lcpc, Llc
National Naval Medical Center
Blossoming Growth Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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