Healthcare Provider Details

I. General information

NPI: 1184762106
Provider Name (Legal Business Name): PAMELA ANN FRISCHMEYER-GUERRERIO M.D. PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST CMSC 1102
BALTIMORE MD
21287-2631
US

IV. Provider business mailing address

600 N WOLFE ST CMSC 1102
BALTIMORE MD
21287-2631
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5883
  • Fax: 410-955-0229
Mailing address:
  • Phone: 410-955-5883
  • Fax: 410-955-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberT3713
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: