Provider Demographics
NPI:1578746293
Name:CONSTANTINE G. LAMBROU, M.D., P.A.
Entity Type:Organization
Organization Name:CONSTANTINE G. LAMBROU, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANTINE
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:LAMBROU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-742-2500
Mailing Address - Street 1:204 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5433
Mailing Address - Country:US
Mailing Address - Phone:410-742-2500
Mailing Address - Fax:410-546-0621
Practice Address - Street 1:204 NEWTON ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5433
Practice Address - Country:US
Practice Address - Phone:410-742-2500
Practice Address - Fax:410-546-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD16607207VC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD76522Medicare UPIN
MDH525Medicare PIN