Provider Demographics
NPI:1699933895
Name:PAMER, JESSICA BLAIR (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BLAIR
Last Name:PAMER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9901 MEDICAL CENTER DR
Mailing Address - Street 2:MEDICAL INTENSIVE CARE UNIT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3357
Mailing Address - Country:US
Mailing Address - Phone:240-826-6396
Mailing Address - Fax:
Practice Address - Street 1:9901 MEDICAL CENTER DR
Practice Address - Street 2:MEDICAL INTENSIVE CARE UNIT
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3357
Practice Address - Country:US
Practice Address - Phone:240-826-6396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2014-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0077241207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease