Individual
BORIS KERZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 HAMLET, UNIT 1408, BALTIMORE, MD 21210
(443) 271-4549
(877) 991-4810
Mailing address
111 HAMLET HILL RD UNIT 1408, BALTIMORE, MD 21210-1518
(443) 271-4549
(877) 991-4810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0019317
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35880170
—
MD
01
—
KS30
CAREFIRST
MD
01
—
T-754
FEDERAL BLUE CROSS
MD
Enumeration date
11/28/2006
Last updated
05/06/2024
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