Provider Demographics
NPI:1699020917
Name:JOHNS HOPKINS
Entity Type:Organization
Organization Name:JOHNS HOPKINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EUN JI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-614-4523
Mailing Address - Street 1:1830 E MONUMENT ST
Mailing Address - Street 2:SUITE 431
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0020
Mailing Address - Country:US
Mailing Address - Phone:443-931-9131
Mailing Address - Fax:
Practice Address - Street 1:951 FELL ST
Practice Address - Street 2:APT 618
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-3586
Practice Address - Country:US
Practice Address - Phone:443-931-9131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital