Individual
HARRY EUSTON HEVERLING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1830 E MONUMENT ST, SUITE 6-100, BALTIMORE, MD 21287-0020
(410) 955-5107
Mailing address
1830 E MONUMENT ST, SUITE 6-100, BALTIMORE, MD 21287-4301
(410) 955-5107
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H77007
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072594300
—
MD
Enumeration date
04/12/2008
Last updated
05/26/2016
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