Healthcare Provider Details

I. General information

NPI: 1154312478
Provider Name (Legal Business Name): DAVID BROWNE POSNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SAINT PAUL PL SUITE 718
BALTIMORE MD
21202-2102
US

IV. Provider business mailing address

4123 WORTHINGTON RD
REISTERSTOWN MD
21136-3872
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9356
  • Fax: 410-783-5884
Mailing address:
  • Phone: 410-833-7536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD13076
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: