Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | MD7317 | MD |
NPI | 1104971167 |
---|---|
Provider Name | Michael T Singer |
First Address | Bethesda, MD 20817 |
Second Address | Bethesda, MD 20817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U50665 | (02) |