Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
Garden of Prayer Christian Church
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNS HOPKINS UNIVERSITY
Authorized official
SHAVONDA L KEATING (DIRECTOR OF PROVIDER ENROLLMENT)
(410) 933-6430
Entity
Organization
Contact information
Practice address
1148 HOMESTEAD ST, BALTIMORE, MD 21218-3609
(410) 243-3204
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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