Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | D35694 | MD |
NPI | 1962555292 |
---|---|
Provider Name | Dr. Annie -- Umbricht |
First Address | Towson, MD 21286-1455 |
Second Address | Baltimore, MD 21224-6823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/07/2007 |