Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0101057847 | VA |
Y | 207P00000X | Emergency Physician | D57744 | MD |
N | 207PE0004X | Emergency Medical Services | 0101057847 | VA |
N | 207PE0004X | Emergency Medical Services | D57744 | MD |
NPI | 1003877473 |
---|---|
Provider Name | Dr. Donald W Alves |
First Address | Baltimore, MD 21208-3899 |
Second Address | Baltimore, MD 21208-3899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 21/10/2011 |