Organization
LUNG ASSOCIATES OF ANNE ARUNDEL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE STENCIL (ADMINISTRATION)
(410) 553-8254
Entity
Organization
Contact information
Practice address
305 HOSPITAL DR, SUITE 305 TATE CENTER, GLEN BURNIE, MD 21061-5805
(410) 768-3701
(410) 766-0881
Mailing address
305 HOSPITAL DR, SUITE 305 TATE CENTER, GLEN BURNIE, MD 21061-5805
(410) 768-3701
(410) 766-0881
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1399630
UNITED HEALTH CARE GROUP
MD
05
—
355300100
—
MD
01
—
5583302
AETNA GROUP NUMBER
MD
01
—
J466
BCBS DC GROUP NUMBER
DC
01
—
KY91
BCBS MD GROUP NUMBER
MD
01
—
M846
AMERICAID GROUP NUMBER
MD
Enumeration date
05/04/2007
Last updated
11/10/2009
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