Leibowitz, Samuel Harris

Leibowitz, Samuel Harris is an individual health care provider with primary practice located at 2401 Blueridge Ave Suite 210, Wheaton MD 20902-4517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Leibowitz, Samuel Harris can be contacted via phone (301) 933-6440.

Contact Information

Primary practice address
2401 Blueridge Ave Suite 210 Wheaton MD 20902-4517
Fax: (301) 933-5923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0045962 Maryland

Profile Details

NPI number 1528029055
LBN Legal business name Leibowitz, Samuel Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2006
Last updated Oct 28th, 2010 - 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 1528029055 NPPES
Maryland MEDICAID 594961100

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