Organization
WILLARD AMOSS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD AMOSS MD (PRESIDENT)
(410) 877-3822
Entity
Organization
Contact information
Practice address
2303 BEL AIR RD, FALLSTON, MD 21047-2737
(410) 877-3822
(410) 877-7781
Mailing address
2303 BEL AIR RD, FALLSTON, MD 21047-2737
(410) 877-3822
(410) 877-7781
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0004354
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431100
—
MD
01
—
1127
MEDICARE
—
Enumeration date
04/20/2010
Last updated
04/20/2010
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