Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 9381 | MD |
NPI | 1073668794 |
---|---|
Provider Name | Dr. Stanley J. Markovitz |
First Address | Pikesville, MD 21208-6604 |
Second Address | Pikesville, MD 21208-6604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |