Individual
FREDERIC STEPHEN D'ALAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 665-1717
(301) 665-1810
Mailing address
PO BOX 1248, HAGERSTOWN, MD 21741-1248
(301) 665-1717
(301) 665-1810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101033599
VA
207L00000X
Anesthesiology Physician
Primary
D0036495
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0036495
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050045472
RAILROAD MEDICARE
MD
05
—
288161601
—
MD
Enumeration date
09/20/2005
Last updated
09/28/2012
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