Provider Demographics
NPI:1659487676
Name:EGLOFF, ALLEN CLARK (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:CLARK
Last Name:EGLOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 WHITE SWAN DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1519
Mailing Address - Country:US
Mailing Address - Phone:410-974-4993
Mailing Address - Fax:
Practice Address - Street 1:726 WHITE SWAN DR
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1519
Practice Address - Country:US
Practice Address - Phone:410-974-4993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0002921207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery