Whalio Doctors

NPI 1487246369

Andrew Jackson Etheridge, CCACFOCFMCPED

Practitioner Anaplastologist Baltimore, MD

Practice location

Address
601 N Caroline St Fl 6, Baltimore, MD 21287-0006
Phone
(410) 955-8215
Fax
(410) 955-1085
Mailing address
6201 Greenleigh Ave, Baltimore, MD 21220-2004

Registered specialties (5)

Anaplastologist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 229N00000X
Ocularist
Eye and Vision Services Providers Taxonomy 156FX1700X
Mastectomy Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X
Pedorthist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X
Orthotic Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

Registry record

NPI
1487246369
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Feb 2021
Record last updated
30 Aug 2022

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.