Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | D65085 | MD |
N | 207RP1001X | Pulmonary Disease | D65085 | MD |
NPI | 1023126455 |
---|---|
Provider Name | Dr. Richard Palladino |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 19/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023126455 | (05) | DE |
411872300 | (05) | MD |
891558-01 | BLUE CROSS/BLUE SHIELD (01) | MD |
I33327 | (02) | MD |