Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1073681235 |
---|---|
Provider Name | Mr. Terry Rabinowitz |
First Address | Still Pond, MD 21667-0105 |
Second Address | Chestertown, MD 21620-3324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
530852-01 | CAREFIRST (01) | MD |