Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | D63219 | MD |
NPI | 1043356314 |
---|---|
Provider Name | Dr. James Edmond Conway |
First Address | Baltimore, MD 21209-4354 |
Second Address | Baltimore, MD 21209-4354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 28/08/2009 |