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Organization
JOHNS HOPKINS UNIVERSITY
Active
Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - PATHOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNS HOPKINS UNIVERSITY
Authorized official
SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
(410) 933-6430
Entity
Organization
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 933-1306
Mailing address
PO BOX 64478, BALTIMORE, MD 21264-4478
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086815300
—
DC
05
—
155681900
—
MD
01
—
CA9044
RRMC
MD
Enumeration date
09/30/2005
Last updated
07/21/2022
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