Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | D0021924 | MD |
NPI | 1063411494 |
---|---|
Provider Name | Dr. Herbert Stuart Block Baraf |
First Address | Wheaton, MD 20902-1905 |
Second Address | Wheaton, MD 20902-1905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004050926 | AETNA (01) | |
0010 | CAREFIRST OF DC (01) | DC |
32592 | PRIORITY PARTNERS (01) | MD |
41058603 | CAREFIRST OF MARYLAND (01) | MD |
43004 | ALLIANCE (01) | |
43004 | MAMSI (01) | |
772912 | UNITED HEALTHCARE (01) | |
960391300 | (05) | MD |