Doctor Name: | JENNIFER L MAGUIRE |
NPI Number: | 1003872581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101230848 |
Business Practice Address: | 205 Hirst Rd Suite 302 Purcellville, VA - 201326198 |
Business Phone Number: | 5403387065 |
Business Fax Number: | 5403389482 |
Mailing Address: | Po Box 17334, BALTIMORE |
State: | MD |
Postal Code: | 212971334 |
Phone Number: | 7034436717 |
Fax Number: | 7034438643 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 0101230848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |