Dr. Jody Robert Tversky
Internist Allergist Internist - Allergy & Immunology and 1 more
5501 Hopkins Bayview Cir
Baltimore
, Maryland 21224-6821
Dr. Jody Robert Tversky
Internist Allergist Internist - Allergy & Immunology and 1 more
5501 Hopkins Bayview Cir
Baltimore
, Maryland 21224-6821
(410) 550-2300
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About
Features
Specialties
- Allergist
- Internist
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Jody Robert Tversky
- Po Box 64264
- Baltimore, MD
- Zip : 21264-4264
- Phone : (410) 550-2300
Second Address
- Dr. Jody Robert Tversky
- 5501 Hopkins Bayview Cir
- Baltimore, MD
- Zip : 21224-6821
- Phone : (410) 550-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207KA0200X | Allergist | 5458 | MD |
| N | 207R00000X | Internist | 042352 | CT |
| N | 111NI0900X | Internist | 042352 | CT |
| N | 207R00000X | Internist | MD-13065 | HI |
| N | 111NI0900X | Internist | MD-13065 | HI |
| N | 207RA0201X | Internist - Allergy & Immunology | 250668 | NY |
| Y | 207RA0201X | Internist - Allergy & Immunology | D66119 | MD |
National Provider Identifier
| NPI | 1619014263 |
|---|---|
| Provider Name | Dr. Jody Robert Tversky |
| First Address | Baltimore, MD 21264-4264 |
| Second Address | Baltimore, MD 21224-6821 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 20/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 042352 | CT STATE LICENSE (01) | CT |
| BT8866432 | DEA (01) | |
| D0066119 | MARYLAND STATE MEDICAL LICENSE (01) | MD |
| L19141 | (02) | HI |
| MD-13065 | HAWAII MEDICAL LICENSE (01) | HI |
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.