Provider Demographics
NPI:1932340312
Name:ROBERT C. AMMLUNG, M.D.P.A.
Entity Type:Organization
Organization Name:ROBERT C. AMMLUNG, M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:AMMLUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-788-0383
Mailing Address - Street 1:516 N ROLLING RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4140
Mailing Address - Country:US
Mailing Address - Phone:410-788-0383
Mailing Address - Fax:410-869-9636
Practice Address - Street 1:516 N ROLLING RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4140
Practice Address - Country:US
Practice Address - Phone:410-788-0383
Practice Address - Fax:410-869-9636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty