Healthcare Provider Details
I. General information
NPI: 1306080270
Provider Name (Legal Business Name): CORINNE SAVIDES HAPPEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/23/2009
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5501 HOPKINS BAYVIEW CIR
BALTIMORE MD
21224-6821
US
IV. Provider business mailing address
6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US
V. Phone/Fax
- Phone: 410-550-2300
- Fax: 410-550-3256
- Phone: 410-933-6423
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RA0201X |
| Taxonomy | Allergy & Immunology (Internal Medicine) Physician |
| License Number | D79864 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: