| Doctor Name: | MRS. JACINTH EDNA BROOKS |
| NPI Number: | 1225117211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | D40209 |
| Business Practice Address: | 75 Mayo Rd Edgewater, MD - 21037 |
| Business Phone Number: | 4109566800 |
| Business Fax Number: | 4109566803 |
| Mailing Address: | 75 Mayo Rd, EDGEWATER |
| State: | MD |
| Postal Code: | 21037 |
| Phone Number: | 4109566800 |
| Fax Number: | 4109566803 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D40209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |