Provider Demographics
NPI:1952476806
Name:DYNE MEDICAL HEALTHCARE LTD
Entity Type:Organization
Organization Name:DYNE MEDICAL HEALTHCARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-499-4655
Mailing Address - Street 1:8700 CENTRAL AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785
Mailing Address - Country:US
Mailing Address - Phone:301-499-4655
Mailing Address - Fax:301-499-0902
Practice Address - Street 1:8700 CENTRAL AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785
Practice Address - Country:US
Practice Address - Phone:301-499-4655
Practice Address - Fax:301-499-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0030322261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7575 0001OtherCARE FIRST
MD408499Medicare ID - Type Unspecified
C62527Medicare UPIN