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Individual

DR. EMERSON SEYMOUR CONRAD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7375
Mailing address
1325 MOUNT HERMON RD, SUITE 14B, SALISBURY, MD 21804-5259
(410) 742-4401
(410) 742-4798

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101244847
VA
207L00000X
Anesthesiology Physician
D0062542
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407826800
MD
01
P00225762
RAILROAD MEDICARE
MD
Enumeration date
11/14/2005
Last updated
07/20/2023
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