Individual
EVERETT T. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 THOMAS JOHNSON DR, STE B, FREDERICK, MD 21702-4895
(301) 695-3100
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0044237
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23965001
UNITED HEALTHCARE
MD
01
—
522122846-003
CIGNA
MD
01
—
52801003
CAREFIRST BLUE CROSS BLUE
MD
05
—
649961900
—
MD
01
—
B5830001
CAREFIRST BLUE CROSS BLUE
DC
Enumeration date
05/23/2005
Last updated
08/20/2020
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