Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | D0086288 | MD |
NPI | 1861752180 |
---|---|
Provider Name | Nadia Katherine Mostovych |
First Address | Baltimore, MD 21209-2100 |
Second Address | Baltimore, MD 21209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 19/10/2018 |