Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO548 | DC |
N | 222Z00000X | Podiatrist | PO548 | DC |
N | 213EP1101X | Primary Podiatric Medicine | 01180 | MD |
NPI | 1073607669 |
---|---|
Provider Name | Dr. Barbara Anita Clorey |
First Address | Elkridge, MD 21075-6434 |
Second Address | Elkridge, MD 21075-6434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 25/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
470010400 | (05) | MD |