Provider Demographics
NPI:1205032273
Name:JOHNS HOPKINS UNIVERSITY
Entity Type:Organization
Organization Name:JOHNS HOPKINS UNIVERSITY
Other - Org Name:BEHAVIORAL PHARMACOLOGY RESEARCH UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:DEAN OF THE MEDICAL FACILITY CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-955-3180
Mailing Address - Street 1:3400 N. CHARLES ST.
Mailing Address - Street 2:THE JOHNS HOPKINS UNIVERSITY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2608
Mailing Address - Country:US
Mailing Address - Phone:410-955-3180
Mailing Address - Fax:410-955-0889
Practice Address - Street 1:5510 NATHAN SHOCK DRIVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6823
Practice Address - Country:US
Practice Address - Phone:410-550-1685
Practice Address - Fax:410-550-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QM2800X
MDMD10035M261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone