Healthcare Provider Details

I. General information

NPI: 1447336102
Provider Name (Legal Business Name): DANIEL GERMAN MALUF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/02/2020
Certification Date: 07/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W REDWOOD ST STE 300
BALTIMORE MD
21201-7003
US

IV. Provider business mailing address

PO BOX 64226
BALTIMORE MD
21264-4226
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-5408
  • Fax: 410-328-5147
Mailing address:
  • Phone: 667-214-1720
  • Fax: 410-706-6976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number57145
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number57145
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberD89838
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: