Organization
MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A.
Active
Other names
Mid-Maryland ENT Specialists, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT TALMADGE HART M.D. (PRESIDENT)
(301) 695-3100
Entity
Organization
Contact information
Practice address
75 THOMAS JOHNSON DR, SUITE B, FREDERICK, MD 21702-4895
(301) 695-3100
(301) 695-3100
Mailing address
75 THOMAS JOHNSON DR, SUITE B, FREDERICK, MD 21702-4895
(301) 695-3100
(301) 695-3100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310102900
—
MD
01
—
B583
CAREFIRST BLUE CROSS BLUE SHIELD NATIONAL CAPITAL AREA
DC
01
—
KH16MI
CAREFIRST BLUE CROSS BLUE SHIELD MARYLAND
MD
Enumeration date
04/21/2006
Last updated
11/13/2013
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