Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | D90183 | MD |
N | 208D00000X | General Practice Physician | MD467364 | PA |
NPI | 1013370824 |
---|---|
Provider Name | Dr. Gerard Limerick |
First Address | Middle River, MD 21220-2004 |
Second Address | Baltimore, MD 21287 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2016 |
Last Update Date | 02/08/2021 |