Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0000000000 | DC |
N | 208000000X | Pediatrician | D62035 | MD |
Y | 2080P0210X | Pediatric Nephrologist | D62035 | MD |
NPI | 1346323623 |
---|---|
Provider Name | Tammy Mcloughlin Brady |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287-0011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 21/11/2019 |