Kravitz, Alan Bruce

Kravitz, Alan Bruce is an individual health care provider with primary practice located at 11119 Rockville Pike Suite 105, Rockville MD 20852-3143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kravitz, Alan Bruce can be contacted via phone (301) 493-9400.

Contact Information

Primary practice address
11119 Rockville Pike Suite 105 Rockville MD 20852-3143
Fax: (301) 493-9412
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D37295 Maryland

Profile Details

NPI number 1295825206
LBN Legal business name Kravitz, Alan Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 16th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295825206 NPPES
Maryland MEDICAID 295241600
Maryland Other C14034
Maryland Other 010026389

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