Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | D0047267 | MD |
NPI | 1023017142 |
---|---|
Provider Name | Dr. Marc Adam Honig |
First Address | Owings Mills, MD 21117-5420 |
Second Address | Owings Mills, MD 21117-5420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G06712 | (02) | MD |