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Individual

DR. ANTHONY D HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-0064
(410) 706-0098
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-0064
(410) 706-0098

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D54512
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861445751
DE
05
213901400
MD
05
5880122
VA
01
697550-01 & 02
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/19/2006
Last updated
02/25/2011
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