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Jericho De Mata, DO
Family Medicine Physician in Upper Marlboro, Maryland
NPI 1275950396

Jericho De Mata is a Family Medicine Physician based in Rockville, MD. Jericho De Mata practices in Upper Marlboro, MD and has the professional credentials of DO. The NPI Number for Jericho De Mata is 1275950396 and holds a License No. MD045539 (Maryland).

The current practice location address for Jericho De Mata is 1221 Mercantile Ln, Upper Marlboro, MD and can be reached out via phone at 301-618-5500.

Location: 1221 Mercantile Ln, Upper Marlboro, MD, 20852-4908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275950396
Provider Name
Jericho De Mata
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1221 Mercantile Ln, Upper Marlboro, MD, 20852-4908
Phone Number
301-618-5500
Fax Number
Provider Enumeration Date
03/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 Mercantile Ln
City
Upper Marlboro
State
Maryland
Zip
20774-5374
Phone Number
301-618-5500
Fax Number
person
Provider Business Mailing Address Details
Address
1221 Mercantile Ln
City
Upper Marlboro
State
Maryland
Zip
20774-5374
Phone Number
301-618-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD045539 (District of Columbia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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