Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D71915 | MD |
N | 207X00000X | Orthopaedic Surgeon | MD436588 | PA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | D71915 | MD |
NPI | 1164664199 |
---|---|
Provider Name | Dr. Joshua M Abzug |
First Address | Baltimore, MD 21207-6665 |
Second Address | Baltimore, MD 21207-6665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 25/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D71915 | LICENSE (01) | MD |