Provider Demographics
NPI:1154480796
Name:ALLERGY & ASTHMA CARE OF MARYLAND PC
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA CARE OF MARYLAND PC
Other - Org Name:EDWARD S YANOWITZ, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:YANOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-587-1127
Mailing Address - Street 1:10801 LOCKWOOD DR STE 180
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1559
Mailing Address - Country:US
Mailing Address - Phone:301-587-1127
Mailing Address - Fax:301-587-1129
Practice Address - Street 1:10801 LOCKWOOD DR STE 180
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1559
Practice Address - Country:US
Practice Address - Phone:301-587-1127
Practice Address - Fax:301-587-1129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD43763174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA64118Medicare UPIN
MDG01984Medicare PIN