Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | R207528 | MD |
N | 207QA0401X | Family Doctor - Addiction Medicine | R207528 | MD |
N | 208D00000X | General Practice Physician | R207528 | MD |
NPI | 1629624887 |
---|---|
Provider Name | Nyeinpu Woah-Tee |
First Address | Baltimore, MD 21239-2602 |
Second Address | Reisterstown, MD 21136-6428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2019 |
Last Update Date | 14/08/2019 |