Provider Demographics
NPI:1326170069
Name:LIPSITZ, CYNTHIA MERLE (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MERLE
Last Name:LIPSITZ
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:21 DUTTON AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4917
Mailing Address - Country:US
Mailing Address - Phone:410-744-5087
Mailing Address - Fax:410-313-6108
Practice Address - Street 1:7178 COLUMBIA GATEWAY DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2132
Practice Address - Country:US
Practice Address - Phone:410-313-6109
Practice Address - Fax:410-313-6108
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD294032083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD73919Medicare UPIN