Provider Demographics
NPI:1841364825
Name:INFANTI, RAYMOND SAM (DC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:SAM
Last Name:INFANTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 HOLIDAY CT
Mailing Address - Street 2:STE. 309
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7008
Mailing Address - Country:US
Mailing Address - Phone:410-573-5733
Mailing Address - Fax:410-897-9118
Practice Address - Street 1:134 HOLIDAY CT
Practice Address - Street 2:STE. 309
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7008
Practice Address - Country:US
Practice Address - Phone:410-573-5733
Practice Address - Fax:410-897-9118
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU54390Medicare UPIN
MD480QMedicare ID - Type Unspecified