Jack R Lichtenstein


Address: 205 Ridgely Ave, Annapolis, MD 21401-1303

Jack R Lichtenstein (NPI# 1609844224, PAC ID# 0941294359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1609844224
PAC ID by PECOS 0941294359
Professional Enrollment ID I20040409000078
Full Name Jack R Lichtenstein
Address 205 Ridgely Ave
Annapolis
MD 21401-1303
Gender M
Credential MD
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1967
Primary Specialty RHEUMATOLOGY
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210023 ANNE ARUNDEL MEDICAL CENTER

Other Locations

Address Phone Organization
205 Ridgely Ave, Annapolis, MD 21401-1303

Organization Information

Office Location

Street Address 205 RIDGELY AVE
City ANNAPOLIS
State MD
Zip 21401-1303

Physicians in the same location

Name Specialty Organization Address
Emily L Weinfeld Physical Therapy Ergonomically Correct, LLC 205 Ridgely Ave, Annapolis, MD 21401-1303
David A Fletcher Physical Therapy Ergonomically Correct, LLC 205 Ridgely Ave, Annapolis, MD 21401-1303

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Name Specialty Organization Address
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Katherine Hill Nurse Practitioner Anne Arundel Physician Group LLC 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317
Kay A Hoskey Obstetrics/gynecology Anne Arundel Physician Group LLC 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317
Johann Entinger Podiatry Podiatry Group of Annapolis Pa 139 Old Solomons Island Rd C, Annapolis, MD 21401-0902
James M Mckee Podiatry Podiatry Group of Annapolis Pa 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902
Adam Lawrence Weaver Podiatry Podiatry Group of Annapolis Pa 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902
Adeleke A Ogunmefun Psychiatry 139 Old Solomons Island Rd, Suite A, Annapolis, MD 21401-0902
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Competitor

Search similar physicians

City ANNAPOLIS
Zip Code 21401
Specialty RHEUMATOLOGY
City + Specialty ANNAPOLIS + RHEUMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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