Organization
TERREN M. HIMELFARB, M.D., P.A.
Active
Organization
TERREN M. HIMELFARB, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERREN M. HIMELFARB M.D. (OWNER)
(410) 433-0760
Entity
Organization
Contact information
Practice address
1900 E NORTHERN PKWY, SUITE 305, BALTIMORE, MD 21239-2113
(410) 433-0760
(410) 532-3503
Mailing address
1900 E NORTHERN PKWY, SUITE 305, BALTIMORE, MD 21239-2113
(410) 433-0760
(410) 532-3503
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201042 (GROUP PTAN)
MEDICARE
MD
01
—
4258TM
CAREFIRST
MD
01
—
GROUP # PENDING
MEDICAL ASSISTANCE
MD
01
—
GROUP PTAN PENDING
RAILROAD MEDICARE
GA
01
—
R437
CAREFIRST
DC
Enumeration date
03/10/2011
Last updated
07/20/2011
Update your record
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