Basic Information
| Provider Information | |||||||||
| NPI: | 1578976445 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FARRINGTON | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | KACIE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1830 E MONUMENT ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212870020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109555268 | ||||||||
| FaxNumber: | 4103672258 | ||||||||
| Practice Location | |||||||||
| Address1: | 1830 E MONUMENT ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109555268 | ||||||||
| FaxNumber: | 4103672258 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2014 | ||||||||
| LastUpdateDate: | 06/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | D0085652 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | D85652 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.