Rudolph E Jenkins Iii Physician Assistant
300 Byrn St, Cambridge, MD 21613-1908


Rudolph E Jenkins Iii is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1790867364. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9638112394. The medical credential is PA. The primary specialty is PHYSICIAN ASSISTANT. The organization is MDICS AT SHORE HEALTH LLC. The address is 300 Byrn St, Cambridge, MD 21613-1908. The zip code is 21613.


Rudolph E Jenkins Iii · 300 Byrn St, Cambridge, MD 21613-1908

Nation Provider ID 1790867364
PAC ID by PECOS 9638112394
Professional Enrollment ID I20050603000991
Last Name JENKINS
First Name RUDOLPH
Middle Name E
Suffix III
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Primary Specialty MDICS AT SHORE HEALTH LLC
Phone Number 4439490814
Group Practice PAC ID 2365676327
Number of Group Practice Members 26
Address 300 BYRN ST
CAMBRIDGE, MD 216131908
Claims Based Hospital Affiliation