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Individual

HOWARD KENNETH SCHULTZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1438 DEFENSE HIGHWAY, SUITE 201, GAMBRILLS, MD 21054
(410) 721-3200
(410) 721-2680
Mailing address
1438 DEFENSE HIGHWAY, SUITE 201, GAMBRILLS, MD 21054
(410) 721-3200
(410) 721-2680

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D35848
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20886
JOHN HOPKINS HEALTH CARE
01
2845851100
MEDICAL ASSISTANCE
05
284851100
MD
01
323179
ALLIANCE
01
40305782
AETNA
01
522281410
COVENTRY HEALTH
01
643065
INFORMED
01
723256
NCPPO
01
7567HK
BLUECROSS BLUESHIELD
01
819172
CCN
01
9262313
CHOICE CARE
01
C0850001
BLUECROSS BLUESHIELD FEDE
01
MD819172
FIRST HEALTH
01
P11392
BLUECROSS BLUESHIELD MPOS
Enumeration date
06/29/2006
Last updated
03/19/2019
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