Healthcare Provider Details

I. General information

NPI: 1528541695
Provider Name (Legal Business Name): JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 GREENLEIGH AVE
BALTIMORE MD
21220-2004
US

IV. Provider business mailing address

PO BOX 412709
BOSTON MA
02241-2709
US

V. Phone/Fax

Practice location:
  • Phone: 410-933-6423
  • Fax:
Mailing address:
  • Phone: 410-760-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTI MARTUCCI
Title or Position: JHRP BILLING ADMINISTRATOR
Credential:
Phone: 410-760-8840