Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | D14623 | MD |
NPI | 1285742809 |
---|---|
Provider Name | John A. Nesbitt III |
First Address | Baltimore, MD 21209-2230 |
Second Address | Baltimore, MD 21209-2230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 07/04/2017 |