Healthcare Provider Details

I. General information

NPI: 1366856692
Provider Name (Legal Business Name): JASMINE TOOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2014
Last Update Date: 12/28/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SAINT PAUL PL
BALTIMORE MD
21202-2102
US

IV. Provider business mailing address

MERCY MEDICAL CENTER ORTHOPEDICS DEPARMENT 301 SAINT PAUL PL
BALTIMORE MD
21202-2102
US

V. Phone/Fax

Practice location:
  • Phone: 410-539-2227
  • Fax: 410-539-2240
Mailing address:
  • Phone: 410-539-2227
  • Fax: 410-539-2240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberD0082521
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0082521
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: