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Contact Information

DONITA DYALRAM, MD
650 W BALTIMORE ST
SUITE 1401
BALTIMORE, MD21201-1510
 Phone: 410-706-6195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 85 Physician/Maxillofacial Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for DONITA DYALRAM · (Female)

NPI Number 1013107572
Credentials MD
Entity Individual
Enumeration date 07/30/2007
Last updated 07/24/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
NY License # 051467
NY License # 256892
Hospital affiliation(s)
  • UNIVERSITY OF MARYLAND MEDICAL CENTER - (Acute Care)
    22 SOUTH GREENE STREET
    BALTIMORE, MD 21201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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