Individual
ANDREW M LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 YORK RD, BUILDING A SUITE 100, LUTHERVILLE, MD 21093-6016
(410) 296-5863
(410) 583-9120
Mailing address
1300 YORK RD, BUILDING A SUITE 100, LUTHERVILLE, MD 21093-6016
(410) 296-5863
(410) 583-9120
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0017049
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7566
RAILROAD MEDICARE GROUP ID
—
01
—
P00249016
RAILROAD MEDICARE INDIV. ID
—
Enumeration date
10/04/2006
Last updated
01/11/2010
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