| NPI | 1700756491 |
|---|---|
| Doing Business As | JHU-5215 LOUGHBORO RD NW STE 210-PROVIDER TYPE: 20-PHYSICIAN |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GIARRATANO Director, Provider Enrollment 410-933-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |