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Organization
APPLEBAUM VENTURES INC
Active
Organization
APPLEBAUM VENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ELLIOTT APPLEBAUM M.D. (OWNER)
(410) 627-8859
Entity
Organization
Contact information
Practice address
42 LATIMORE WAY, OWINGS MILLS, MD 21117-6000
(410) 627-8859
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-1133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152858
MEDICARE
MD
01
—
417952800
MEDICAL ASSISTANCE
MD
01
—
DDK0GG
CAREFIRST
MD
01
—
DP3028
RAILROAD MEDICARE
GA
01
—
Q467
CAREFIRST
DC
Enumeration date
06/10/2009
Last updated
03/01/2010
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