RUSSELL TAYLOR SUNDBY

BALTIMORE, MD
NPI1275952020
Other NameTAYLOR SUNDBY
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: MD  D0085726)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  142969)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-09
Last Update Date2018-07-05
Business Address
RUSSELL TAYLOR SUNDBY MD
1800 ORLEANS ST
BALTIMORE, MD 21287
Phone number: 410-955-8751
Mailing Address
RUSSELL TAYLOR SUNDBY MD
1800 ORLEANS ST RM 11379
BALTIMORE, MD 21287-0010
Phone number: 410-955-8751