Doctor Name: | JOHANNA F. PAULINO-WOOLRIDGE |
NPI Number: | 1013032556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | |
Business Practice Address: | 700 Washington Blvd Baltimore, MD - 21230 |
Business Phone Number: | 4107793102 |
Business Fax Number: | |
Mailing Address: | 700 Washington Blvd, BALTIMORE |
State: | MD |
Postal Code: | 212308317 |
Phone Number: | 4107793102 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |