Provider Demographics
NPI:1164400164
Name:NOBLE, RAYMON A (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMON
Middle Name:A
Last Name:NOBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:RAYMON
Other - Middle Name:A
Other - Last Name:NOBLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:32 COX RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639-9278
Mailing Address - Country:US
Mailing Address - Phone:410-414-5628
Mailing Address - Fax:
Practice Address - Street 1:32 COX RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTOWN
Practice Address - State:MD
Practice Address - Zip Code:20639-9278
Practice Address - Country:US
Practice Address - Phone:410-414-5628
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD17324207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDAN6267834OtherDEA