Provider Demographics
NPI:1336380716
Name:STANLEY R. PLATMAN, M.D., P.A.
Entity Type:Organization
Organization Name:STANLEY R. PLATMAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PLATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-889-2758
Mailing Address - Street 1:3915 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-1733
Mailing Address - Country:US
Mailing Address - Phone:410-889-2758
Mailing Address - Fax:410-235-2331
Practice Address - Street 1:3915 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-1733
Practice Address - Country:US
Practice Address - Phone:410-889-2758
Practice Address - Fax:410-235-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB70451Medicare UPIN
MDZDB3Medicare PIN