Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | D0082121 | MD |
N | 207PE0004X | Emergency Medical Services | D0082121 | MD |
NPI | 1154663821 |
---|---|
Provider Name | Edmund Timpano |
First Address | Baltimore, MD 21224-5168 |
Second Address | Baltimore, MD 21287-0010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 06/07/2017 |