Provider Demographics
NPI:1164856480
Name:JOHNS HOPKINS MEDICAL INSTITUTIONS
Entity type:Organization
Organization Name:JOHNS HOPKINS MEDICAL INSTITUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:GILLOOLY
Authorized Official - Last Name:RABEN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:410-502-3421
Mailing Address - Street 1:1650 ORLEANS ST
Mailing Address - Street 2:CRB 1 1M 50-A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0013
Mailing Address - Country:US
Mailing Address - Phone:410-502-3421
Mailing Address - Fax:410-614-8160
Practice Address - Street 1:1650 ORLEANS ST
Practice Address - Street 2:CRB 1 1M 50-A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0013
Practice Address - Country:US
Practice Address - Phone:410-502-3421
Practice Address - Fax:410-614-8160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0000998282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital