Healthcare Provider Details

I. General information

NPI: 1396181046
Provider Name (Legal Business Name): EMILY BARNARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 05/24/2021
Certification Date: 02/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 ALICEANNA ST SUITE 300
BALTIMORE MD
21202-4387
US

IV. Provider business mailing address

9600 BLACKWELL RD SUITE 5150
ROCKVILLE MD
20850-3655
US

V. Phone/Fax

Practice location:
  • Phone: 443-825-3340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberH90508
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: