Healthcare Provider Details

I. General information

NPI: 1972772291
Provider Name (Legal Business Name): JOHNS HOPKINS UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10755 FALLS RD SUITE 320
LUTHERVILLE MD
21093-4515
US

IV. Provider business mailing address

PO BOX 64728
BALTIMORE MD
21264-4728
US

V. Phone/Fax

Practice location:
  • Phone: 410-583-2666
  • Fax: 410-583-2667
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number StateMD

VIII. Authorized Official

Name: PATRICIA AMORIELLO
Title or Position: DIRECTOR CPA
Credential:
Phone: 410-933-6422