Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | DOO57782 | MD |
NPI | 1306835681 |
---|---|
Provider Name | Nadine B Acri |
First Address | White Marsh, MD 21236 |
Second Address | White Marsh, MD 21236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 04/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H24764 | (02) | MD |