Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | D0032947 | MD |
Y | 207R00000X | Internist | D32947 | MD |
Y | 111NI0900X | Internist | D32947 | MD |
NPI | 1083624522 |
---|---|
Provider Name | Dr. Ava G Joubert |
First Address | Cumberland, MD 21502-5622 |
Second Address | Cumberland, MD 21502-5622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 09/09/2010 |