Provider Demographics
NPI:1194285874
Name:ABERNETHY, JANE L (MD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:L
Last Name:ABERNETHY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:301 MASON F LORD DRIVE
Practice Address - Street 2:GIM 301 BLDG, 1ST FL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-3350
Practice Address - Fax:410-550-3598
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2022-09-14
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Provider Licenses
StateLicense IDTaxonomies
MDD94095207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine