Provider Demographics
NPI:1720156318
Name:DON H. YABLONOWITZ, M.D., P.A.
Entity Type:Organization
Organization Name:DON H. YABLONOWITZ, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:YABLONOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-390-6660
Mailing Address - Street 1:7404 EXECUTIVE PL
Mailing Address - Street 2:SUITE 502
Mailing Address - City:LANHAM SEABROOK
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2268
Mailing Address - Country:US
Mailing Address - Phone:301-390-6660
Mailing Address - Fax:301-464-6248
Practice Address - Street 1:7404 EXECUTIVE PL
Practice Address - Street 2:SUITE 502
Practice Address - City:LANHAM SEABROOK
Practice Address - State:MD
Practice Address - Zip Code:20706-2268
Practice Address - Country:US
Practice Address - Phone:301-390-6660
Practice Address - Fax:301-464-6248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0025079207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD795571500Medicaid
MD795571500Medicaid
MDB94759Medicare UPIN