Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D46156 | MD |
Y | 2080N0001X | Neonatal-Perinatal Doctor | D46156 | MD |
NPI | 1053330662 |
---|---|
Provider Name | Dr. Maria Ann Pane |
First Address | Baltimore, MD 21263-1568 |
Second Address | Baltimore, MD 21204-6808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 01/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2120199 | GBMC MAMSI (01) | MD |
233054 | GBMC KAISER PERM (01) | MD |
23620 | GBMC HOPKINS PRODUCTS (01) | MD |
4700503 | GBMC UHC AMERICHOICE (01) | MD |
94109 | GBMC AMERIGROUP (01) | MD |
F98784 | (02) | |
KJ50GB/533934-02 | CAREFIRST MARYLAND (01) | MD |
S1390014 | CAREFIRST REGIONAL GBMC (01) | MD |