Individual
DR. DAVID CONRAD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 BRANDERMILL BLVD, SUITE 360, GAMBRILLS, MD 21054-1690
(410) 721-9862
(410) 721-9865
Mailing address
2401 BRANDERMILL BLVD, SUITE 360, GAMBRILLS, MD 21054-1690
(410) 721-9862
(410) 721-9865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0043236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037532
JHHC PROVIDER NUMBER
MD
01
—
0521276
AETNA CAPITATED
MD
01
—
0826714
CIGNA PIN
MD
05
—
192191600
—
MD
01
—
242087
MAMSI SPECIALIST
MD
01
—
4334366
AETNA FEE FOR SERVICE
MD
01
—
525954-02
CAREFIRST MD RENDERING
MD
01
—
7605-0002
CAREFIRST BLUECHOICE
MD
01
—
80151940
RAILROAD MEDICARE
MD
01
—
842087
MAMSI PRIMARY CARE
MH
01
—
P13160
CAREFIRST MPOS
MD
Enumeration date
07/22/2005
Last updated
09/23/2008
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