Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D0066046 | MD |
NPI | 1033250048 |
---|---|
Provider Name | Julie L. Ducharme |
First Address | Havre De Grace, MD 21078-2143 |
Second Address | Havre De Grace, MD 21078-2143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2007 |
Last Update Date | 12/12/2012 |