NPI | 1790504066 |
---|---|
Doing Business As | JHU - 4102 WILSON BLVD |
Entity Type | Organization |
Authorized Contact | NICHOLAS GIARRATANO Director Provider Enrollment Unit 410-000-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 152W00000X Optometrist |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | |
207W00000X Ophthalmology | |
208600000X Surgery | |
208800000X Urology | |
Enumeration Date | 2024-10-04 |
Last Update Date | 2024-10-29 |