Healthcare Provider Details

I. General information

NPI: 1841795051
Provider Name (Legal Business Name): JAMIE HUR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR
BETHESDA MD
20892-1820
US

IV. Provider business mailing address

2701 DEKALB PIKE
EAST NORRITON PA
19401-1820
US

V. Phone/Fax

Practice location:
  • Phone: 301-402-2399
  • Fax: 610-278-2832
Mailing address:
  • Phone: 610-278-2003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO035023
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: