Individual
SCOTT D LIFCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
D62331
MD
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
D62331
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410639300
—
MD
Enumeration date
06/09/2006
Last updated
03/30/2023
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