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Individual

GARY ELLIOT APPLEBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
42 LATIMORE WAY, OWINGS MILLS, MD 21117-6000
(410) 627-8859
(410) 363-2023
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
D0034053
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0034053
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152843ZDS4
MEDICARE
MD
01
285211000
MEDICAL ASSISTANCE
MD
01
40035806
CAREFIRST
MD
01
P00745580
RAILROAD MEDICARE
GA
01
Q467-0001
CAREFIRST
DC
Enumeration date
03/15/2006
Last updated
03/01/2010
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