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Individual

WILLIAM A WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-4000
Mailing address
716 SPRINGDALE AVE, ANNAPOLIS, MD 21403-2923
(443) 837-6096

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0040039
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062781000
MD
01
140081YR8
MEDICARE NOVITAS
MD
Enumeration date
05/24/2006
Last updated
09/04/2014
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