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Individual

DAVID SIDRANSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 RUTLAND AVE, BALTIMORE, MD 21205-2109
(410) 502-5153
Mailing address
PO BOX 64588, BALTIMORE, MD 21264-4588

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D36597
MD
207RX0202X
Medical Oncology Physician
Primary
D36597
MD
207Y00000X
Otolaryngology Physician
D36597
MD

Other

Enumeration date
11/06/2006
Last updated
09/11/2025
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