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Organization

JOHNS HOPKINS UNIVERSITY

Active
Other names
JHU-97 THOMAS JOHNSON DR STE 202-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
97 THOMAS JOHNSON DR STE 202, FREDERICK, MD 21702-4374
(301) 662-0011
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2080P0202X
Pediatric Cardiology Physician
Primary

Other

Enumeration date
11/14/2025
Last updated
11/14/2025
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