Healthcare Provider Details

I. General information

NPI: 1285955765
Provider Name (Legal Business Name): JEMIMA FELICITY LANGUIDO ALBAYDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 LOCH RAVEN BLVD RUSSELL H. MORGAN BLDG AT GOOD SAMARITAN HOSPITAL, SUIT
BALTIMORE MD
21239-2945
US

IV. Provider business mailing address

5200 EASTERN AVE MFL CENTER TOWER, SUITE 4500
BALTIMORE MD
21224-2734
US

V. Phone/Fax

Practice location:
  • Phone: 443-444-4646
  • Fax: 410-630-7496
Mailing address:
  • Phone: 443-444-4646
  • Fax: 410-630-7496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number003678
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: