Individual
ALLEN T BANEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 GEIPE RD, SUITE 230, CATONSVILLE, MD 21228-4147
(410) 247-7500
(410) 247-4227
Mailing address
700 GEIPE RD, SUITE 230, CATONSVILLE, MD 21228-4147
(410) 247-7500
(410) 247-4227
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0066005
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412943100
—
MD
Enumeration date
05/24/2007
Last updated
08/08/2014
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