Dezern, Amy Elizabeth
Dezern, Amy Elizabeth is an individual health care provider with primary practice located at 401 N Broadway St Room 1363, Baltimore MD 21287-0019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Dezern, Amy Elizabeth can be contacted via phone (410) 955-8964.Contact Information
Primary practice address
401 N Broadway St Room 1363
Baltimore MD 21287-0019
Phone: (410) 955-8964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | D67193 | Maryland |
Profile Details
| NPI number | 1780738229 |
|---|---|
| LBN Legal business name | Dezern, Amy Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jan 25th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780738229 | NPPES |
| Maryland | MEDICAID | 417649900 |
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