Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | A0001287 | MD |
N | 213ES0000X | Sports Medicine | A0001287 | MD |
NPI | 1265864391 |
---|---|
Provider Name | Briana Loren Galeazzi |
First Address | Towson, MD 21252-9797 |
Second Address | Towson, MD 21252-9797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2013 |
Last Update Date | 10/09/2021 |