Basic Information
| Provider Information | |||||||||
| NPI: | 1619234127 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEARY | ||||||||
| FirstName: | RUTH | ||||||||
| MiddleName: | GARLAND | ||||||||
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| OtherLastName: | GARLAND | ||||||||
| OtherFirstName: | RUTH | ||||||||
| OtherMiddleName: | PALMER | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4644 DILLON PLACE | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4437080067 | ||||||||
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| Practice Location | |||||||||
| Address1: | 22 SOUTH GREEN STREET | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103288667 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2012 | ||||||||
| LastUpdateDate: | 06/24/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207L00000X | D80694 | MD | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.