| Jack R Lichtenstein, MD LLC | |
|
205 Ridgely Ave Annapolis MD 21401 | |
| (410) 263-6910 | |
| (443) 433-0456 |
| Full Name | Jack R Lichtenstein, MD LLC |
|---|---|
| Speciality | Internal Medicine - Rheumatology |
| Location | 205 Ridgely Ave, Annapolis, Maryland |
| Authorized Official Name and Position | Jack R. Lichtenstein (OWNER) |
| Authorized Official Contact | 4102686910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack R Lichtenstein, MD LLC 205 Ridgely Ave Annapolis MD 21401 Ph: (410) 263-6910 | Jack R Lichtenstein, MD LLC 205 Ridgely Ave Annapolis MD 21401 Ph: (410) 263-6910 |
| NPI Number | 1043288087 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043288087 | NPI | - | NPPES |
| 3304001 | Other | MD | CAREFIRST |
| J1740003 | Other | DC | CAREFIRST |
| 785361100 | Medicaid | MD |
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