| NPI | 1043189780 |
|---|---|
| Doing Business As | JHRP-10805 HICKORY RIDGE RD STE 201-PROVIDER TYPE: 20 PHYSICIAN |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GIARRATANO Director, Provider Enrollment 410-933-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |