Individual
ALLAN A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 DORCHESTER AVE, CAMBRIDGE, MD 21613-2421
(410) 228-7917
(410) 228-3580
Mailing address
300 BYRN ST, CAMBRIDGE, MD 21613-1908
(410) 228-5511
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
D40200
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0653411
—
MD
Enumeration date
04/24/2006
Last updated
07/08/2007
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