Basic Information
| Provider Information | |||||||||
| NPI: | 1326424193 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARGUDO | ||||||||
| FirstName: | JENNY | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5051 GREENSPRING AVE STE 300 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212094358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106019515 | ||||||||
| FaxNumber: | 4106011910 | ||||||||
| Practice Location | |||||||||
| Address1: | 5051 GREENSPRING AVE STE 300 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212094358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106019515 | ||||||||
| FaxNumber: | 4106011910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2015 | ||||||||
| LastUpdateDate: | 08/12/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | MT209908 | PA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084N0400X | D88733 | MD | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.