| NPI | 1720958507 |
|---|---|
| Doing Business As | JHU-5200 EASTERN AVENUE-PROVIDERTYPE: 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 | 2025-11-07 |
| Last Update Date | 2025-11-07 |