Provider Demographics
NPI:1528541695
Name:JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Entity Type:Organization
Organization Name:JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Other - Org Name:INFECTIOUS DISEASE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:JHRP BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-760-8840
Mailing Address - Street 1:PO BOX 412709
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2709
Mailing Address - Country:US
Mailing Address - Phone:410-760-8840
Mailing Address - Fax:
Practice Address - Street 1:2850 N RIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3396
Practice Address - Country:US
Practice Address - Phone:410-418-8550
Practice Address - Fax:410-418-8552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-13
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty