Provider Demographics
NPI:1689992190
Name:BARTH, ANDREAS SEBASTIAN (MD)
Entity Type:Individual
Prefix:
First Name:ANDREAS
Middle Name:SEBASTIAN
Last Name:BARTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:675 S PRESIDENT STREET
Mailing Address - Street 2:UNIT 1909
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4587
Mailing Address - Country:US
Mailing Address - Phone:410-262-1184
Mailing Address - Fax:
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:MEDICAL HOUSESTAFF PRACTICE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-0530
Practice Address - Fax:410-550-0491
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD78770207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease