Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0034053 | MD |
Y | 111NI0900X | Internist | D0034053 | MD |
N | 207RG0300X | Geriatric Medicine | D0034053 | MD |
NPI | 1053380816 |
---|---|
Provider Name | Gary Elliot Applebaum |
First Address | White Marsh, MD 21162-1717 |
Second Address | Owings Mills, MD 21117-6000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 01/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
152843ZDS4 | MEDICARE (01) | MD |
285211000 | MEDICAL ASSISTANCE (01) | MD |
40035806 | CAREFIRST (01) | MD |
E21310 | (02) | MD |
P00745580 | RAILROAD MEDICARE (01) | GA |
Q467-0001 | CAREFIRST (01) | DC |