Pfau, Richard Gordon
Pfau, Richard Gordon is an individual health care provider with primary practice located at 810 Landmark Dr Ste 117-119 , Glen Burnie MD 21061-4987. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Pfau, Richard Gordon can be contacted via phone (410) 766-0111.Contact Information
Primary practice address
810 Landmark Dr Ste 117-119
Glen Burnie MD 21061-4987
Phone: (410) 766-0111
Fax: (410) 582-9155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0029194 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | D0029194 | Maryland |
Profile Details
| NPI number | 1518935485 |
|---|---|
| LBN Legal business name | Pfau, Richard Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Apr 3rd, 2018 - about 6 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 | 1518935485 | NPPES |
| Maryland | MEDICAID | 339061603 |
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