Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | D0035939 | MD |
NPI | 1285763821 |
---|---|
Provider Name | Dr. Phyllis Ellman Schuster |
First Address | Owings Mills, MD 21117-2914 |
Second Address | Baltimore, MD 21215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 08/07/2007 |