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NPI Code Detail

MEDICARE: DR. JEROME SIRINGAN CEPHAS MD

MEDICARE: DR. JEROME SIRINGAN CEPHAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianR5527TX
2207P00000XEmergency Medicine Physician0101280403VA

General Provider Information

NPI Number : 1609255728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEROME SIRINGAN CEPHAS MD
Provider Business Mailing Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 312-804-1818
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 312-804-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2015
Last Update Date : 12/17/2025

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