Individual
DR. MAYER GORBATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 OLD COURT ROAD, NORTHWEST HOSPITAL, RANDALLSTOWN, MD 21133
(410) 701-4466
(410) 701-4598
Mailing address
5401 OLD COURT ROAD, LIFEBRIDGE HEALTH, NORTHWEST HOSPITAL, RANDALLSTOWN, MD 21133
(410) 701-4466
(410) 701-4598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0027938
MD
207RX0202X
Medical Oncology Physician
Primary
D0027938
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042765900
—
DC
05
—
380511500
—
MD
01
—
414392-03
BLUE CROSS/BLUE SHIELD
MD
01
—
S325-0022
BLUE CROSS BLUE SHIELD
MD
Enumeration date
09/15/2006
Last updated
05/19/2015
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