Basic Information
| Provider Information | |||||||||
| NPI: | 1497750624 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CIOTOLA | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 ST. PAUL PLACE, LOBBY LEVEL | ||||||||
| Address2: | ORTHOPEDIC AND JOINT REPLACEMENT | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105392227 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 ST. PAUL PLACE, LOBBY LEVEL | ||||||||
| Address2: | ORTHOPEDIC AND JOINT REPLACEMENT | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105392227 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2005 | ||||||||
| LastUpdateDate: | 10/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0114X | D0060007 | MD | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 207XX0005X | D0060007 | MD | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | 207X00000X | D0060000007 | MD | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | S186 / 0110 | 01 | MD | BLUECHOICE | OTHER | 402466400 | 05 | MD | MEDICAID | KG65 / 621587-04 | 01 | MD | BC / BS OF MD | OTHER |