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JEFFREY A. LONDON MD PC NPI 1861708257


NPI Information

NPI: 1861708257
Provider Name: JEFFREY A. LONDON MD PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2075 W BIG BEAVER RD
SUITE 520
TROY, MI
ZIP 48084
Phone: (248) 646-6659
Get Directions

JEFFREY A. LONDON MD PC is a medical specialty clinic center in Troy, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JEFFREY A. LONDON MD PC NPI is 1861708257. The provider is registered as an organization entity type.

The provider's business location address is:

2075 W BIG BEAVER RD
SUITE 520
TROY, MI
ZIP 48084-407
Phone: (248) 646-6659
Fax: (248) 642-8645

The provider's authorized official is Jeffrey A, London .
The authorized official title is President and has the following contact phone number (248) 646-6659.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 8/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty4301040691MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10635747MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.