Healthcare Provider Details

I. General information

NPI: 1093269847
Provider Name (Legal Business Name): SILVANA BARONE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 08/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST BLALOCK 359
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

600 N WOLFE ST BLALOCK 359
BALTIMORE MD
21287-0005
US

V. Phone/Fax

Practice location:
  • Phone: 410-614-1229
  • Fax: 410-502-5440
Mailing address:
  • Phone: 410-614-1229
  • Fax: 410-502-5440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14272
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: