Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD034829 | DC |
NPI | 1043361124 |
---|---|
Provider Name | Dr. Joshua Michael Ammerman |
First Address | Bethesda, MD 20816-3313 |
Second Address | Washington, DC 20016-3622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 11/12/2007 |