Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | H67260 | MD |
Y | 2080P0203X | Pediatric Critical Care Doctor | H67260 | MD |
NPI | 1235267543 |
---|---|
Provider Name | Alison H Miles |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287-0011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 20/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
414440600 | (05) | MD |