Organization
ANDREW M. LONDON MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MONROE LONDON MD (PRESIDENT)
(410) 296-5863
Entity
Organization
Contact information
Practice address
1300 YORK RD, BLDG A, SUITE 100, LUTHERVILLE, MD 21093-6000
(410) 296-5863
(410) 296-3105
Mailing address
1300 YORK RD, BLDG A, SUITE 100, LUTHERVILLE, MD 21093-6000
(410) 296-5863
(410) 296-3105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D17049
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7566
RAILROAD MEDICARE GROUP ID
—
Enumeration date
11/26/2007
Last updated
12/02/2010
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