Individual
LYDIA J KOBZIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
7601 OSLER DR, UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, BALTIMORE, MD 21204-7700
(410) 337-1281
Mailing address
7601 OSLER DRIVE, UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER, TOWSON, MD 21204
(410) 337-1281
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
R11381
MD
363LA2100X
Acute Care Nurse Practitioner
R11381
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417483600
—
MD
01
—
950234-01 & 02
BC/BS
MD
01
—
S062-0349
BC/BS REGIONAL
MD
Enumeration date
04/27/2009
Last updated
10/21/2019
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