Healthcare Provider Details

I. General information

NPI: 1184246001
Provider Name (Legal Business Name): THOMAS LEONARD LOPARDO JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 SOUTH GREEN STREET
BALTIMORE MD
21201
US

IV. Provider business mailing address

22 SOUTH GREEN STREET
BALTIMORE MD
21201
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-9781
  • Fax: 410-328-3665
Mailing address:
  • Phone: 410-328-9781
  • Fax: 410-328-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberLP04825
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberD0103946
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: