Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D0060000007 | MD |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0060007 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0060007 | MD |
NPI | 1497750624 |
---|---|
Provider Name | Mr. Joseph J Ciotola |
First Address | Baltimore, MD 21202 |
Second Address | Baltimore, MD 21202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 17/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
402466400 | (05) | MD |
H88686 | (02) | MD |
KG65 / 621587-04 | BC / BS OF MD (01) | MD |
S186 / 0110 | BLUECHOICE (01) | MD |