Provider Demographics
NPI:1013099837
Name:LOSSING, JOHN HAROLD (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HAROLD
Last Name:LOSSING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2002 MEDICAL PKWY
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3046
Mailing Address - Country:US
Mailing Address - Phone:410-266-2740
Mailing Address - Fax:410-266-2758
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:SUITE 430
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:410-266-2740
Practice Address - Fax:410-266-2758
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2009-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD237472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD144547ZCP1OtherMEDICARE PROVIDER GROUP MEMBER PTAN