Provider Demographics
NPI:1982606935
Name:LITMAN, DAVID ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:LITMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12502 WILLOWBROOK RD
Mailing Address - Street 2:STE 560
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1876
Mailing Address - Country:US
Mailing Address - Phone:301-723-6476
Mailing Address - Fax:301-723-6479
Practice Address - Street 1:12502 WILLOWBROOK RD
Practice Address - Street 2:STE 560
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1876
Practice Address - Country:US
Practice Address - Phone:301-723-6476
Practice Address - Fax:301-723-6479
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-02
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062710207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD177N168GMedicare UPIN
177N168GMedicare ID - Type Unspecified