Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D0067630 | MD |
Y | 207YP0228X | Pediatric Otolaryngology | D0067630 | MD |
NPI | 1437350840 |
---|---|
Provider Name | Dr. Emily Frances Boss |
First Address | Baltimore, MD 21264-4588 |
Second Address | Baltimore, MD 21287-0006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 26/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
415625100 | (05) | MD |