Dwight D Im is a Gynecologic Oncology in Baltimore, Maryland. Dwight D Im practices all healthcare services and medical treatments related to Gynecologic Oncology. The NPI Number for Dwight D Im is 1770521130. The last update date is 2014-03-26.
Dwight D Im's current location address is 227 St. Paul Place, Baltimore, Maryland. You can contact this provider via phone number 4103329002 and fax number 4107835880. The mailing address for Dwight D Im is 227 St. Paul Place, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight D Im |
|---|---|
| Address | 227 St. Paul Place, Baltimore, Maryland |
| Phone Number | 4103329002 |
| Fax Number | 4107835880 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770521130 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2014-03-26 |
Provider Mailing Address Detail
| Address | 227 St. Paul Place |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212022102 |
| Phone Number | 4103329002 |
| Fax Number | 4107835880 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecologic Oncology |
|---|---|
| Taxonomy | 207Vx0201X |
| Licence No | D0043934 |
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Definition: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and res |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S186 / 0013 | MD | BLUECHOICE | |
| KT93ST / 528170 | MD | BC / BS OF MD | |
| 447571200 | MD | -- |
Post Comment/ Review Below
What is the Dwight D Im's 1770521130?
The Dwight D Im's NPI (National Provider Identifier) Number is 1770521130. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dwight D Im?
The Dwight D Im is physically situated at 227 St. Paul Place, in the city of Baltimore, state of MD, with the postal code 212022102.
What is Dwight D Im's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dwight D Im's area of specialization is Gynecologic Oncology, and the corresponding taxonomy code that categorizes this field of practice is 207Vx0201X.
On what date was the 1770521130 assigned to Dwight D Im?
The Dwight D Im was issued its 1770521130 on 2006-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Dwight D Im, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dwight D Im, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-26.
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