MEDICARE: ALAN GERINGER, MD LLC

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
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1699474452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN GERINGER, MD LLC

Provider Business Mailing Address
First Line	:	722 DULANEY VALLEY RD # 141
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-5109
Country	:	US
Telephone Number	:	443-827-7117
Fax Number	:	410-558-6476

Provider Business Practice Location Address
First Line	:	750 MAIN ST STE 310
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-2517
Country	:	US
Telephone Number	:	443-827-7117
Fax Number	:	410-558-6476

Authorized Official
Title or Position	:	OWNER
Name	:	ALAN MARK GERINGER
Credential	:
Telephone Number	:	443-970-6438

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	03/05/2023

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