Provider Demographics
NPI:1356737084
Name:JOHNS HOPKINS UNIVERSITY
Entity type:Organization
Organization Name:JOHNS HOPKINS UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYDOS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MPH, DRPH
Authorized Official - Phone:410-614-0932
Mailing Address - Street 1:855 N WOLFE ST
Mailing Address - Street 2:RANGOS 530
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1503
Mailing Address - Country:US
Mailing Address - Phone:410-614-0932
Mailing Address - Fax:
Practice Address - Street 1:855 N WOLFE ST
Practice Address - Street 2:RANGOS 520
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1503
Practice Address - Country:US
Practice Address - Phone:410-614-0932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD008; CONTROL: 52631291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory