Individual
DR. PAUL DENNIS BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
401 RACE ST, CAMBRIDGE, MD 21613-1835
(410) 228-0500
(410) 228-0504
Mailing address
401 RACE ST, P.O. BOX 976, CAMBRIDGE, MD 21613-1835
(410) 228-0500
(410) 228-0504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TAO742
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21434
MDIPA/MAMSI
MD
01
—
4379297
AETNA
MD
01
—
6902000000Z671
CARE FIRST
MD
05
—
771378900
—
MD
Enumeration date
10/06/2005
Last updated
10/14/2008
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