Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D0047657 | MD |
NPI | 1003250036 |
---|---|
Provider Name | Joyce J Ghiorzi |
First Address | Frederick, MD 21702-4747 |
Second Address | Frederick, MD 21702-4747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2013 |
Last Update Date | 30/01/2014 |