Healthcare Provider Details

I. General information

NPI: 1346591823
Provider Name (Legal Business Name): JOHNS HOPKINS UNIVERSTIY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST DEPARTMENT OF PEDIATRIC SURGERY
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

8842 TAMAR DR
COLUMBIA MD
21045-2816
US

V. Phone/Fax

Practice location:
  • Phone: 443-963-8474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. FIZAN ABDULLAH
Title or Position: CHAIRMAN
Credential:
Phone: 410-979-7762