Provider Demographics
NPI:1295718203
Name:AMERNICK, STANLEY J (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:J
Last Name:AMERNICK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7505 OSLER DR
Mailing Address - Street 2:STE 210
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7736
Mailing Address - Country:US
Mailing Address - Phone:410-321-1182
Mailing Address - Fax:410-337-2570
Practice Address - Street 1:7505 OSLER DR
Practice Address - Street 2:STE 210
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7736
Practice Address - Country:US
Practice Address - Phone:410-321-1182
Practice Address - Fax:410-337-2570
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2011-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD16677207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB70124Medicare UPIN
MD106P295GMedicare ID - Type Unspecified