Provider Demographics
NPI:1912111832
Name:HELMUT PFALZ MD PA
Entity Type:Organization
Organization Name:HELMUT PFALZ MD PA
Other - Org Name:GENERAL & HAND SURGERY OF SOUTHERN MARYLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELMUT
Authorized Official - Middle Name:
Authorized Official - Last Name:PFALZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-535-9535
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-0658
Mailing Address - Country:US
Mailing Address - Phone:410-535-9535
Mailing Address - Fax:410-535-0642
Practice Address - Street 1:110 HOSPITAL ROAD
Practice Address - Street 2:SUITE 214
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4019
Practice Address - Country:US
Practice Address - Phone:410-535-9535
Practice Address - Fax:410-535-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH71024Medicare UPIN
MD976MMedicare PIN