Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D77880 | MD |
N | 208000000X | Pediatrician | MD436570 | PA |
NPI | 1003847781 |
---|---|
Provider Name | Adam J Spanier |
First Address | Baltimore, MD 21264-2063 |
Second Address | Baltimore, MD 21201-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 30/06/2014 |