Bodurtha, Joann N

Bodurtha, Joann N is an individual health care provider with primary practice located at 600 N Wolfe St Blalock 1012 D Medical Genetics, Baltimore MD 21287-0005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Bodurtha, Joann N can be contacted via phone (410) 955-1699.

Contact Information

Primary practice address
600 N Wolfe St Blalock 1012 D Medical Genetics Baltimore MD 21287-0005
Phone: (410) 955-1699
Fax: (410) 614-9246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 0101036738 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101036738 Virginia
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X D73075 Maryland

Profile Details

NPI number 1336225028
LBN Legal business name Bodurtha, Joann N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336225028 NPPES
Virginia MEDICAID 6756964
Virginia MEDICAID 049028800

Popular Providers