# JOHNS HOPKINS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JHU - 4685 PRESTANCIA PL - PROVIDER TYPE 20
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568332088
- **Authorized official:** NICHOLAS GIARRATANO (DIRECTOR, PROV ENROLLMENT)
- **Authorized official phone:** (410) 933-6423

## Contact information

- **Practice address:** 4685 PRESTANCIA PL, WALDORF, MD 20602-4144
- **Practice address phone:** (301) 591-6844
- **Mailing address:** 6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
- **Mailing address phone:** (410) 933-6423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2025
- **Last updated:** 11/10/2025