Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 037997 | CT |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D48111 | MD |
NPI | 1073596151 |
---|---|
Provider Name | Donna M Neale |
First Address | Baltimore, MD 21264-4313 |
Second Address | Columbia, MD 21044-2998 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001379975 | (05) | CT |
160001802 | (02) | CT |
845126501 | (05) | MD |
A18051 | (02) | |
G18051 | (02) | MD |