Organization
MIRKIN MEDICAL CONSULTANTS
Active
Other names
ALLERGY & IMMUNOLOGY ASSOC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABE MIRKIN M.D. (OWNER)
(301) 942-7900
Entity
Organization
Contact information
Practice address
10901 CONNECTICUT AVE, SUITE 100, KENSINGTON, MD 20895-1645
(301) 942-7900
(301) 942-9837
Mailing address
10901 CONNECTICUT AVE, SUITE 100, KENSINGTON, MD 20895-1645
(301) 942-7900
(301) 942-9837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0013921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01217
MEDICARE GRP NO
MD
Enumeration date
08/31/2007
Last updated
04/20/2008
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