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Organization

JOHNS HOPKINS REGIONAL PHYSICIANS LLC

Active
Parent organization
JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Other names
ENTAA Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Authorized official
KRISTI MARTUCCI (JHRP BILLING ADMINISTRATOR)
(410) 760-8840
Entity
Organization

Contact information

Practice address
802 LANDMARK DR STE 120, GLEN BURNIE, MD 21061-9121
(410) 760-8840
(410) 760-8847
Mailing address
PO BOX 412709, BOSTON, MA 02241-2709
(410) 760-8840
(410) 367-2464

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207N00000X
Dermatology Physician
207Y00000X
Otolaryngology Physician
Primary
225100000X
Physical Therapist
231H00000X
Audiologist
235Z00000X
Speech-Language Pathologist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/22/2018
Last updated
03/20/2024
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