Provider Demographics
NPI:1649235474
Name:ASKIN, FREDERIC B (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:B
Last Name:ASKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FREDERIC
Other - Middle Name:B
Other - Last Name:ASKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 64478
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4478
Mailing Address - Country:US
Mailing Address - Phone:410-955-2660
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-2660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD40642207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD075651200Medicaid
MDE29373Medicare UPIN
MDKR36ML80Medicare PIN