Provider Demographics
NPI:1780787085
Name:CHIOLI, JUDITH ANN (PHARMD, CGP)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ANN
Last Name:CHIOLI
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11868 BRIGHT PSGE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4369
Mailing Address - Country:US
Mailing Address - Phone:301-596-4318
Mailing Address - Fax:410-332-9792
Practice Address - Street 1:301 ST. PAUL PLACE
Practice Address - Street 2:MERCY MEDICAL CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-0000
Practice Address - Country:US
Practice Address - Phone:410-332-9628
Practice Address - Fax:410-332-9792
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD090831835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric