Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | D45430 | MD |
NPI | 1316087620 |
---|---|
Provider Name | Dr. Ana Maria G Pasatiempo |
First Address | Rockville, MD 20852 |
Second Address | Baltimore, MD 21244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G82558 | (02) |