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Individual

MR. GERALD MEIBO HAYWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
405 FREDERICK RD STE 210, #210, CATONSVILLE, MD 21228-4647
(410) 992-4300
(410) 992-9180
Mailing address
PO BOX 999, STEVENSVILLE, MD 21666
(410) 992-4300
(410) 992-9180

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D41836
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026554500
MA
DC
01
DS1851
MEDICARE RAILROAD - GROUP
MD
01
G01478G01
MCR INIVIDUAL
DC
01
P00215480
MEDICARE RAILROAD
MD
01
P01003968
MEDICARE RAILROAD
MD
Enumeration date
12/05/2006
Last updated
03/28/2012
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