Individual
ENID NEPTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21205-2101
(443) 287-3348
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D56499
MD
207RP1001X
Pulmonary Disease Physician
D56499
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061403300
—
MD
Enumeration date
10/03/2006
Last updated
04/16/2013
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