Provider Demographics
NPI:1235336546
Name:DAVID A. LITMAN, M.D., P.A.
Entity Type:Organization
Organization Name:DAVID A. LITMAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-723-6476
Mailing Address - Street 1:12502 WILLOWBROOK RD
Mailing Address - Street 2:SUITE 560
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1876
Mailing Address - Country:US
Mailing Address - Phone:301-723-6476
Mailing Address - Fax:301-723-6479
Practice Address - Street 1:12502 WILLOWBROOK RD
Practice Address - Street 2:SUITE 560
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1876
Practice Address - Country:US
Practice Address - Phone:301-723-6476
Practice Address - Fax:301-723-6479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062710207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407657500Medicaid
MDH59821Medicare UPIN
MD177N168GMedicare ID - Type Unspecified
MD407657500Medicaid