Provider Demographics
NPI:1073681235
Name:RABINOWITZ, TERRY
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12804 STILL POND RD
Mailing Address - Street 2:P.O. BOX 105
Mailing Address - City:STILL POND
Mailing Address - State:MD
Mailing Address - Zip Code:21667-0105
Mailing Address - Country:US
Mailing Address - Phone:410-348-5753
Mailing Address - Fax:
Practice Address - Street 1:932 WASHINGTON AVE
Practice Address - Street 2:UNIT G
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-3324
Practice Address - Country:US
Practice Address - Phone:410-778-9089
Practice Address - Fax:410-778-5617
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD530852-01OtherCAREFIRST
MD0732780001Medicare ID - Type Unspecified