Provider Demographics
NPI:1326278763
Name:KALTER, HENRY
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:KALTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 N WOLFE ST
Mailing Address - Street 2:RM. E8132
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:615 N WOLFE ST
Practice Address - Street 2:RM. E8132
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2103
Practice Address - Country:US
Practice Address - Phone:410-955-3928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00340502083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine