Doctor Name: | DONNA GREY BOOTH |
NPI Number: | 1255339891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D0033879 |
Business Practice Address: | 1209 York Rd Suite 200 Lutherville, MD - 210936207 |
Business Phone Number: | 4108219490 |
Business Fax Number: | 4108219495 |
Mailing Address: | 1209 York Rd, Suite 200 LUTHERVILLE |
State: | MD |
Postal Code: | 210936207 |
Phone Number: | 4108219490 |
Fax Number: | 4108219495 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0033879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |