Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | D0071999 | MD |
NPI | 1063547289 |
---|---|
Provider Name | Dr. Bernadette Cavaneyro Siaton |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 01/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
332514800 | (05) | MD |
975052-01 | CAREFIRST BC/BS (01) | MD |
S062-0441 | CAREFIRST BC/BS - REGIONAL (01) | MD |