Maryland Lung Associates PA
Organization Active NPI Pulmonary Disease Physician · Balitimore, MD
NPI 1679766950 · NPPES record last updated Aug 21, 2007
Key facts
- NPI
- 1679766950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- MARYLAND LUNG ASSOCIATES PA
- Practice address
- 3449 Wilkens Avenue
Suite 207
Balitimore, MD 21229 - Phone
- (410) 644-5112
- Fax
- (410) 644-6517
- NPI assigned
- Aug 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Dennis Michael Smith, MD
- Title
- President Owner
- Phone
- (410) 644-5112
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | Yes |
Addresses
Primary practice location
3449 Wilkens Avenue
Suite 207
Balitimore, MD 21229
Mailing address
3449 Wilkens Avenue
Suite 207
Balitimore, MD 21229
Phone (410) 644-5112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42116302 | Other | MD | BLUE SHIELD |
| CA1235 | Other | RRMC GROUP | |
| KS48MA | Other | MD | BLUE SHIELD |
| 42116301 | Other | MD | BLUE SHIELD |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.