Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | D56939 | MD |
N | 207VE0102X | Reproductive Endocrinologist | D56939 | MD |
NPI | 1407894330 |
---|---|
Provider Name | Dr. Natalie Blagowidow |
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 | 03/06/2006 |
Last Update Date | 21/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
726502600 | (05) | MD |
B36233 | (02) | |
KJ67/610218-01 | CAREFIRST MARYLAND GBMC (01) | MD |
S128/0003 | CAREFIRST REGIONAL GBMC (01) | MD |