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NPI Code Detail

MEDICARE: ALLAN J MONFRIED MD

MEDICARE: ALLAN J MONFRIED MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianD007144MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1KV0835443203OTHERMDCAREFIRST
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3W6200028OTHERDCCAREFIRST

General Provider Information

NPI Number : 1659330066
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN J MONFRIED MD
Provider Business Mailing Address
First Line : PO BOX 6725
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-0725
Country : US
Telephone Number : 443-332-4260
Fax Number : 410-721-7851
Provider Business Practice Location Address
First Line : 2114 GENERALS HWY
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7488
Country : US
Telephone Number : 410-451-2116
Fax Number : 410-721-2656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 10/26/2010

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