Provider Demographics
NPI:1356367445
Name:SAUNDERS, P.A., GEOFFREY HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:HAROLD
Last Name:SAUNDERS, P.A.
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:203 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:410-553-8042
Mailing Address - Fax:410-553-8043
Practice Address - Street 1:203 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 304
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-553-8042
Practice Address - Fax:410-553-8043
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD40403208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD305861100Medicaid
MD763M324FMedicare UPIN
F00115Medicare UPIN
MD763M324FMedicare PIN