Organization
UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY TAYLOR MD (CHAIRMAN)
(667) 214-2370
Entity
Organization
Contact information
Practice address
16 S EUTAW ST, 5TH FL, BALTIMORE, MD 21201-1606
(410) 328-6897
(410) 328-2109
Mailing address
PO BOX 64693, BALTIMORE, MD 21264-4693
(410) 328-6897
(410) 328-2109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409035700
—
MD
01
—
925BUN
BCBS GROUP NUMBER
MD
Enumeration date
08/01/2006
Last updated
10/31/2024
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