Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 62496-20 | WI |
Y | 204F00000X | Transplant Surgeon | D81662 | MD |
NPI | 1144423112 |
---|---|
Provider Name | Joseph R Scalea |
First Address | Baltimore, MD 21264-4226 |
Second Address | Baltimore, MD 21201-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 19/09/2019 |