DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROME DEPETRIS

Active Sole Proprietor

JEROME DEPETRIS is a Home Health healthcare provider located in TOWSON, Maryland. NPI 1003222704 is currently active in the NPPES registry. Verify at CMS.

Home Health · TOWSON, MD

Registration Details

NPI Number
1003222704
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2014 (12.149009333615 yrs)
Last Updated
Jul 2, 2014
License
R2580 (MD)
Sole Proprietor
Yes

Practice Information

Address
8601 LASALLE RD
100
TOWSON, MD, 212862005
Browse MD providers · Browse ZIP 21286
Phone
4103378910
Fax
4103378327
Primary Specialty
Home Health
251E00000X

Other Home Health Providers in TOWSON, MD

Name Credential NPI
MISS PRISCILLA HIRAM RN 1942688593
TRINA N DAVENPORT 1184476368
FAIZAN AHMAD 1194692111
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.