Individual
KATHERINE A SCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, ROOM N9E17, BALTIMORE, MD 21201-1544
(410) 328-6841
(410) 328-8668
Mailing address
22 S GREENE ST, ROOM N9E17, BALTIMORE, MD 21201-1544
(410) 328-6841
(410) 328-8668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D75549
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333924600
—
MD
01
—
S062-0523
CAREFIRST BC/BS
MD
Enumeration date
03/28/2010
Last updated
12/01/2015
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