| NPI | 1922978618 |
|---|---|
| Doing Business As | JHU-5215 LOUGHBORO RD NW STE 140-PROVIDER TYPE: 20-PHYSICIAN |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GIARRATANO Director, Provider Enrollment 410-933-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |