Individual
TERREN MERRILL HIMELFARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 E NORTHERN PKWY, SUITE 305, BALTIMORE, MD 21239-2113
(410) 433-0760
(410) 532-3503
Mailing address
1900 E NORTHERN PKWY, SUITE 305, BALTIMORE, MD 21239-2113
(410) 433-0760
(410) 532-3503
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D05414
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068981501(SOLO #)
MEDICAL ASSISTANCE
MD
01
—
203617YDLV (MEMBER)
MEDICARE
MD
01
—
32458402 (RENDERING)
CAREFIRST
MD
01
—
PENDING
RAILROAD MEDICARE
GA
01
—
R437-0001
CAREFIRST
DC
01
—
TIN & NPI 1
MEDSTAR FAMILY CHOICE
MD
Enumeration date
09/26/2006
Last updated
07/20/2011
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