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MID-ATLANTIC ALLERGY & ASTHMA NPI 1063762417


NPI Information

NPI: 1063762417
Provider Name: MID-ATLANTIC ALLERGY & ASTHMA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 21D0862693

Address:
8182 LARK BROWN ROAD
ELKRIDGE, MD
ZIP 21075
Phone: (410) 908-6466
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MID-ATLANTIC ALLERGY & ASTHMA is a medical specialty clinic center in Elkridge, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MID-ATLANTIC ALLERGY & ASTHMA NPI is 1063762417. The provider is registered as an organization entity type.

The provider's business location address is:

8182 LARK BROWN ROAD
ELKRIDGE, MD
ZIP 21075
Phone: (410) 908-6466
Fax: (410) 531-6466

The provider's authorized official is Michael H Goldman .
The authorized official title is Owner and has the following contact phone number (410) 908-6466.

The CLIA number assigned to this NPI record is 21D0862693 - end stage renal disease dialysis facility with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyD46931MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G42594MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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