Provider Demographics
NPI:1295773141
Name:HAND, WILLIAM B (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:HAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 418953
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8953
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6565 N CHARLES ST STE 411
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5803
Practice Address - Country:US
Practice Address - Phone:443-849-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057145207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKJ24/P17761OtherCAREFIRST POS-GBMC
MDS190 / 0021OtherBLUECHOICE
MDKF68 / 610829-01OtherBC / BS OF MD
MDKJ24/61082904OtherCAREFIRST MARYLAND-GBMC
MD905302600Medicaid
MDS1420022OtherCAREFIRST REGIONAL-GBMC
MDP00613085Medicare PIN
MDS1420022OtherCAREFIRST REGIONAL-GBMC
MDKF68 / 610829-01OtherBC / BS OF MD
MDKJ24/P17761OtherCAREFIRST POS-GBMC
MDKL28 / A698Medicare PIN