Individual
DR. PHILIP BRYAN DVOSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1406B CRAIN HWY S, STE 301, GLEN BURNIE, MD 21061-4099
(410) 760-5588
(410) 760-9727
Mailing address
1406B CRAIN HWY S, STE 301, GLEN BURNIE, MD 21061-4099
(410) 760-5588
(410) 760-9727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0003032
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21919
MAMSI
MD
01
—
K077
CAREFIRST
MD
Enumeration date
02/11/2007
Last updated
07/08/2007
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