Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | H85230 | MD |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101020587 | MI |
NPI | 1578902169 |
---|---|
Provider Name | Janine Amos |
First Address | Baltimore, MD 21287-0006 |
Second Address | Baltimore, MD 21287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 30/10/2018 |