Provider Demographics
NPI:1093781155
Name:ARGENTO, NICHOLAS B (MDL)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:B
Last Name:ARGENTO
Suffix:
Gender:M
Credentials:MDL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 LAUREL PARK DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5203
Mailing Address - Country:US
Mailing Address - Phone:301-953-2080
Mailing Address - Fax:301-953-3543
Practice Address - Street 1:14201 LAUREL PARK DR
Practice Address - Street 2:SUITE 214
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-953-2080
Practice Address - Fax:301-953-3543
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD34018207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB70354Medicare UPIN
MH573581L77Medicare ID - Type UnspecifiedDC METROPOLITAN MEDICARE
MD055M873EMedicare ID - Type UnspecifiedMD MEDICARE PROVIDER #