MEDICARE: DR. KAREN L JEROME M.D.

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
1	207R00000X	Internal Medicine Physician	D0041341	MD

General Provider Information

NPI Number	:	1578567277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN L JEROME M.D.

Provider Business Mailing Address
First Line	:	HOLY CROSS HOSPITAL, DEPT. OF CASE MANAGEMENT
Second Line	:	1500 FOREST GLEN ROAD
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1484
Country	:	US
Telephone Number	:	301-754-7425
Fax Number	:	301-754-7468

Provider Business Practice Location Address
First Line	:	HOLY CROSS HOSPITAL, DEPT. OF CASE MANAGEMENT
Second Line	:	1500 FOREST GLEN ROAD
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1484
Country	:	US
Telephone Number	:	301-754-7425
Fax Number	:	301-754-7468

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/09/2007

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