Organization
JOHNS HOPKINS UNIVERSITY
Active
Other names
JHU-1106 ANNAPOLIS RD STE 310-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
1106 ANNAPOLIS RD STE 310, ODENTON, MD 21113-1744
(410) 874-1400
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 533-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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