Basic Information
| Provider Information | |||||||||
| NPI: | 1669699922 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOHNS HOPKINS UNIVERSITY STUDENT HEALTH AND WELLNESS CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3400 N CHARLES ST | ||||||||
| Address2: | AMR2 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212182608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105168270 | ||||||||
| FaxNumber: | 4105164784 | ||||||||
| Practice Location | |||||||||
| Address1: | 3400 N CHARLES ST | ||||||||
| Address2: | AMR2 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212182608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105168270 | ||||||||
| FaxNumber: | 4105164784 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | JOFFE | ||||||||
| AuthorizedOfficialFirstName: | ALAIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4105168270 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QS1000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Student Health |
No ID Information.