Healthcare Provider Details

I. General information

NPI: 1396784336
Provider Name (Legal Business Name): JOSEPH TWANMOH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S. CATON AVE. ST. AGNES HOSPITAL
BALTIMORE MD
21229-5201
US

IV. Provider business mailing address

110 S PACA ST UNIV. OF MARYLAND EMERGENCY MED., 6TH FLOOR, SUITE 200
BALTIMORE MD
21201-1642
US

V. Phone/Fax

Practice location:
  • Phone: 410-368-2012
  • Fax:
Mailing address:
  • Phone: 410-328-8025
  • Fax: 410-328-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD448245
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0046505
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: