Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0720786 | MD |
NPI | 1447249941 |
---|---|
Provider Name | Dr. Jose C Muniz |
First Address | Frederick, MD 21702-4386 |
Second Address | Frederick, MD 21702-4386 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 23/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
188211200 | (05) | MD |
D72205 | (02) | MD |