Whalio Doctors

NPI 1154514719

Dibos-Edery, P.A.

Organisation Nuclear Medicine Physician Baltimore, MD

Practice location

Address
5601 Loch Raven Blvd, Baltimore, MD 21239-2905
Phone
(410) 532-3710
Fax
(410) 532-4405
Mailing address
10845 Philadelphia Rd, White Marsh, MD 21162-1717

Authorised official

Name
Pablo E. Dibos
Title
M.D.
Phone
(410) 532-3710

Registered specialties

Nuclear Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence D0004683 (MD)

Registry record

NPI
1154514719
Entity type
Organization
NPI issued
27 Aug 2007
Record last updated
27 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.