# PHILIP W. HALSTEAD, M.D.,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730298365
- **Authorized official:** DR. PHILIP WILLIAM HALSTEAD M.D. (OWNER)
- **Authorized official phone:** (410) 420-0396

## Contact information

- **Practice address:** 602 S ATWOOD RD, SUITE 101, BEL AIR, MD 21014-4172
- **Practice address phone:** (410) 420-0396
- **Practice address fax:** (410) 638-8270
- **Mailing address:** 602 S ATWOOD RD, SUITE 101, BEL AIR, MD 21014-4172
- **Mailing address phone:** (410) 420-0396
- **Mailing address fax:** (410) 638-8270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0050803 | MD | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 10/19/2007