| NPI | 1760934186 |
|---|---|
| Doing Business As | JHU - SURGERY/PODIATRIST |
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Sr Production Unit Mgr 410-933-6430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0131X (Licence: MD 520595510) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2025-05-07 |