Healthcare Provider Details

I. General information

NPI: 1124606033
Provider Name (Legal Business Name): EMILY ROSE NADELMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W REDWOOD ST
BALTIMORE MD
21201-1734
US

IV. Provider business mailing address

419 W REDWOOD ST STE 235
BALTIMORE MD
21201-7031
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-1171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD600003811
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0103688
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: