Provider Demographics
NPI:1568725455
Name:HOLZMAN, SAMUEL BEARD (MD, SCM)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:BEARD
Last Name:HOLZMAN
Suffix:
Gender:M
Credentials:MD, SCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1905
Mailing Address - Country:US
Mailing Address - Phone:518-928-8274
Mailing Address - Fax:
Practice Address - Street 1:3333 N CALVERT ST BLDG SUITE670
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:410-554-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-17
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD82383207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease