Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D30372 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D30372 | MD |
NPI | 1669475216 |
---|---|
Provider Name | Dr. Edward S Holt |
First Address | Annapolis, MD 21401-8902 |
Second Address | Annapolis, MD 21401-3742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 25/07/2018 |