Provider Demographics
NPI:1922708239
Name:ALAN GERINGER, MD LLC
Entity Type:Organization
Organization Name:ALAN GERINGER, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:GERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-970-6438
Mailing Address - Street 1:12 SHADED GLEN CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3067
Mailing Address - Country:US
Mailing Address - Phone:410-419-3678
Mailing Address - Fax:410-558-6476
Practice Address - Street 1:40 YORK RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5243
Practice Address - Country:US
Practice Address - Phone:410-419-3678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty