Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A131063 | CA |
N | 208600000X | Surgeon | A131063 | CA |
Y | 208200000X | Surgeon | D0087342 | MD |
Y | 208600000X | Surgeon | D0087342 | MD |
N | 2086S0102X | Surgical Critical Care | D0087342 | MD |
N | 2086S0127X | Trauma Surgeon | D0087342 | MD |
NPI | 1013311067 |
---|---|
Provider Name | Dr. Joseph Alden Herrold |
First Address | Baltimore, MD 21201-1544 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2014 |
Last Update Date | 22/06/2019 |