Individual
DR. DOUGLAS D MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 362-3000
Mailing address
PO BOX 73276, BALTIMORE, MD 21273-0001
(410) 362-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0061555
MD
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D006155
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405539000
—
MD
05
—
451601000
—
MD
01
—
P00349931
RAILROAD
MD
Enumeration date
04/01/2006
Last updated
06/20/2012
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