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Organization

JOHNS HOPKINS UNIVERSITY

Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - PEDIATRICS/Addiction Psychiatry
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOHNS HOPKINS UNIVERSITY
Authorized official
SHAVONDA L KEATING (DIRECTOR OF PROVIDER ENROLLMENT)
(410) 933-6430
Entity
Organization

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 933-1182
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-1200

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary

Other

Enumeration date
10/11/2021
Last updated
10/11/2021
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