Individual
DR. STANFORD HOWARD MALINOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 QUARRY LAKE DR, STE 290, BALTIMORE, MD 21209-3742
(410) 484-8398
(410) 484-3695
Mailing address
2700 QUARRY LAKE DR, STE 290, BALTIMORE, MD 21209-3742
(410) 484-8398
(410) 484-3695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0004701
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028901900
—
MD
01
—
41737104
BSMD
MD
01
—
522221754
TAX I.D.
MD
01
—
D0004701
LICENSE
MD
01
—
E591
BFED
MD
01
—
M32936
CDS
MD
Enumeration date
03/17/2006
Last updated
03/07/2023
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