Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | D0043371 | MD |
NPI | 1356342778 |
---|---|
Provider Name | Dr. Judy Joseph-Herbert |
First Address | Baltimore, MD 21264-4916 |
Second Address | Annapolis, MD 21401-3280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 26/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
269900101 048081900 | (05) | MD |
52938006 | CAREFIRST (01) | MD |
607156012 | DEPT OF LABOR (01) | |
CI4599P00115588 | RR MEDICARE (01) | MD |
F26785 | (02) | MD |
KJ86AN 546026-06 | CAREFIRST BCBS (01) | MD |
S3520016 | CAREFIRST (01) | DC |
V8140004 | CAREFIRST (01) |