Dr. Joann N Bodurtha
Pediatrician Clinical Genetics (M.D.)
600 N Wolfe St Blalock 1012 D Medical Genetics
Baltimore
, Maryland 21287-0005
Dr. Joann N Bodurtha
Pediatrician Clinical Genetics (M.D.)
600 N Wolfe St Blalock 1012 D Medical Genetics
Baltimore
, Maryland 21287-0005
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Joann N Bodurtha
- Po Box 64316
- Baltimore, MD
- Zip : 21264-4316
- Phone :
Second Address
- Dr. Joann N Bodurtha
- 600 N Wolfe St Blalock 1012 D Medical Genetics
- Baltimore, MD
- Zip : 21287-0005
- Fax : (410) 614-9246
- Phone : (410) 955-1699
Reviews
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Is Dr. Joann N Bodurtha a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | 0101036738 | VA |
| Y | 207SG0201X | Clinical Genetics (M.D.) | D73075 | MD |
| N | 208000000X | Pediatrician | 0101036738 | VA |
National Provider Identifier
| NPI | 1336225028 |
|---|---|
| Provider Name | Dr. Joann N Bodurtha |
| First Address | Baltimore, MD 21264-4316 |
| Second Address | Baltimore, MD 21287-0005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 10/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 049028800 | (05) | MD |
| 6756964 | (05) | VA |
| B62126 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.