Provider Demographics
NPI:1023126208
Name:SCOTT, ALLAN GRIFFITHS (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:GRIFFITHS
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:907 CROMWELL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3323
Mailing Address - Country:US
Mailing Address - Phone:410-821-5260
Mailing Address - Fax:
Practice Address - Street 1:6231 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1113
Practice Address - Country:US
Practice Address - Phone:410-377-2044
Practice Address - Fax:410-377-8061
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0008650207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD76688Medicare UPIN
MD035N872FMedicare ID - Type Unspecified