Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | D0037765 | MD |
NPI | 1053381517 |
---|---|
Provider Name | John P Foley |
First Address | Linthicum, MD 21090-2924 |
Second Address | Easton, MD 21601-4091 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 05/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F13705 | (02) |