Provider Demographics
NPI:1669583837
Name:CMAR, JOHN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:CMAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: INFECTIOUS DISEASE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-6207
Mailing Address - Fax:410-601-6006
Practice Address - Street 1:2435 W BELVEDERE AVE
Practice Address - Street 2:SUITE 17
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5224
Practice Address - Country:US
Practice Address - Phone:410-601-6207
Practice Address - Fax:410-601-6006
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-04-07
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Provider Licenses
StateLicense IDTaxonomies
MDD0066118207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD013767700Medicaid
MDS589Q728Medicare PIN