Organization
JOHNS HOPKINS UNIVERSITY
Active
Other names
JHU-BOULTON ST-PROVIDER TYPE: 20-PHYSICIAN
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GIARRATANO (DIRECTOR, PROVIDER ENROLLMENT)
(410) 933-0000
Entity
Organization
Contact information
Practice address
620 BOULTON ST, BEL AIR, MD 21014-4255
(410) 893-0480
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 893-0480
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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