Individual
PORTIA IRENE CHIPENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 E MONUMENT ST STE 6, BALTIMORE, MD 21287-0020
(410) 955-3380
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D88235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D88235
LICENSE
MD
Enumeration date
03/30/2016
Last updated
11/14/2019
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