Individual
ALEXANDER PANTELYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, MEYER 6-181C, BALTIMORE, MD 21287-0005
(410) 502-0133
Mailing address
600 N WOLFE ST, MEYER 6-181C, BALTIMORE, MD 21287-0005
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D77954
MD
2084N0400X
Neurology Physician
MD445778
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080152600
—
MD
Enumeration date
07/25/2008
Last updated
07/24/2015
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