Provider Demographics
NPI:1396808416
Name:VANDERLINDE, JANTINA (MD MPH)
Entity type:Individual
Prefix:
First Name:JANTINA
Middle Name:
Last Name:VANDERLINDE
Suffix:
Gender:F
Credentials:MD MPH
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Other - Credentials:
Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:
Practice Address - Street 1:2100 PENNSYLVANIA AVE NW
Practice Address - Street 2:KAISER PERMANENTE WEST END MEDICAL CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3202
Practice Address - Country:US
Practice Address - Phone:703-237-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2022-01-07
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Provider Licenses
StateLicense IDTaxonomies
VA010248722207Q00000X
MDD0071332207Q00000X
DC038257207Q00000X
DCMD 038257207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine