Provider Demographics
NPI:1386760254
Name:NOLD AND ESCOBOSA P A
Entity type:Organization
Organization Name:NOLD AND ESCOBOSA P A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-224-3848
Mailing Address - Street 1:2568A RIVA RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7457
Mailing Address - Country:US
Mailing Address - Phone:410-224-7667
Mailing Address - Fax:410-573-4926
Practice Address - Street 1:2024 WEST ST STE 400
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3552
Practice Address - Country:US
Practice Address - Phone:410-224-7667
Practice Address - Fax:410-573-4926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty