Doctor Name: | DR. EDWARD W JEWELL |
NPI Number: | 1205999257 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14805 |
Business Practice Address: | 2480 Llewellyn Ave Fort George G Meade, MD - 207555800 |
Business Phone Number: | 3016778270 |
Business Fax Number: | 3016778176 |
Mailing Address: | 2480 Llewellyn Ave, FORT GEORGE G MEADE |
State: | MD |
Postal Code: | 207555800 |
Phone Number: | 3016778270 |
Fax Number: | 3016778176 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 14805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |