Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101234574 | VA |
Y | 2080P0201X | Pediatric Allergist | 0101234574 | VA |
NPI | 1407802887 |
---|---|
Provider Name | Maripaz B. Morales |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 17/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006739172 | (05) | VA |
100912578001 | (05) | PA |
3810001368 | (05) | WV |
405975100 | (05) | MD |
89066EF | (05) | VA |
H32009 | (02) |