Provider Demographics
NPI:1962452185
Name:GOLDSZMIDT, ADRIAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:J
Last Name:GOLDSZMIDT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:5051 GREENSPRING AVENUE
Practice Address - Street 2:MICHEL MIROWSKI, MD, OFF. BLDG
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209
Practice Address - Country:US
Practice Address - Phone:410-601-9515
Practice Address - Fax:410-601-8905
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-11-28
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Provider Licenses
StateLicense IDTaxonomies
MDD518742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCB9280OtherR/R MEDICARE GROUP #
MDG49748Medicare UPIN
MDS576876TMedicare PIN