Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D53590 | MD |
N | 111NI0900X | Internist | D53590 | MD |
Y | 207RX0202X | Medical Oncology | D53590 | MD |
NPI | 1003863267 |
---|---|
Provider Name | Sydney Morss Dy |
First Address | Baltimore, MD 21264-4264 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 12/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400200800 | (05) | MD |
G82222 | (02) | MD |