Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | D0056477 | MD |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | D0056477 | MD |
NPI | 1154324416 |
---|---|
Provider Name | Dr. Glenn R. Meininger |
First Address | Baltimore, MD 21208-6391 |
Second Address | Baltimore, MD 21237-3930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 23/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
768001500 | (05) | MD |
H36087 | (02) | MD |