Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | D0008413 | MD |
NPI | 1699878603 |
---|---|
Provider Name | Dr. Richard E Layton |
First Address | Towson, MD 21204 |
Second Address | Towson, MD 21204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 24/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D78109 | (02) | MD |