| NPI | 1023772290 |
|---|---|
| Doing Business As | JHU - HCGH PEDS ED |
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Director Of Provider Enrollment 410-933-6430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |