MID-ATLANTIC ALLERGY & ASTHMA


Address: 8182 Lark Brown Road, Elkridge, MD 21075
Phone: 4109086466

MID-ATLANTIC ALLERGY & ASTHMA (NPI# 1063762417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063762417
Entity Type Organization
Organization Name MID-ATLANTIC ALLERGY & ASTHMA
Practice Address 8182 Lark Brown Road
Elkridge
MD 21075
Mailing Address 6500 Early Lily Row
Columbia
MD 21044
Practice Telephone 4109086466
Practice Fax Number 4105316466
Mailing Telephone 4105316466
Mailing Fax Number 4105316466
Enumeration Date 2012-09-13
Last Update Date 2012-09-13
Authorized Official Name DR. MICHAEL H GOLDMAN (OWNER)
Authorized Official Telephone 4109086466
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
D46931 MD Ambulatory Health Care Facilities

Office Location

Street Address 8182 LARK BROWN ROAD
City ELKRIDGE
State MD
Zip Code 21075

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1588970552 Mira M Patel Pharmacist 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 2010-08-27
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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).
Notes: [7/1/2003: new]

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Competitor

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City ELKRIDGE
Zip Code 21075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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