Individual
DR. ANDREW R MAYRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 17, BALTIMORE, MD 21215-5224
(410) 601-5941
(410) 601-6006
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D30977
MD
207RI0200X
Infectious Disease Physician
Primary
D30977
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC3778
R/R MEDICARE GROUP #
MD
Enumeration date
06/04/2006
Last updated
12/06/2007
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