Provider Demographics
NPI:1437142833
Name:LINDER, EMORY J (MD)
Entity Type:Individual
Prefix:DR
First Name:EMORY
Middle Name:J
Last Name:LINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:902 AVERILL RD
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-3827
Mailing Address - Country:US
Mailing Address - Phone:410-679-7424
Mailing Address - Fax:410-679-0117
Practice Address - Street 1:902 AVERILL RD
Practice Address - Street 2:
Practice Address - City:JOPPA
Practice Address - State:MD
Practice Address - Zip Code:21085-3827
Practice Address - Country:US
Practice Address - Phone:410-679-7424
Practice Address - Fax:410-679-0117
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0006240207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D70247Medicare UPIN
MD5405Medicare ID - Type Unspecified