Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | D90617 | MD |
NPI | 1487860060 |
---|---|
Provider Name | Susan M Joseph |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-1590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 07/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
355249901 | (05) | TX |
355249902 | (05) | TX |