| 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 |