MEDICARE: ERIC M JEFFRIES 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
1	2084N0400X	Neurology Physician	MD034684	DC

General Provider Information

NPI Number	:	1790757045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC M JEFFRIES MD

Provider Business Mailing Address
First Line	:	8555 16TH ST
Second Line	:	SUTE 310
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2816
Country	:	US
Telephone Number	:	301-562-7200
Fax Number	:	301-565-6771

Provider Business Practice Location Address
First Line	:	2730 UNIVERSITY BLVD W
Second Line	:	SUITE 410
City	:	WHEATON
State	:	MD
Zip	:	20902-1905
Country	:	US
Telephone Number	:	301-562-7200
Fax Number	:	301-946-4150

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	11/19/2012

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