Healthcare Provider Details

I. General information

NPI: 1265612535
Provider Name (Legal Business Name): DRS. SHERMAN AND O'BRIEN P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 PARK HEIGHTS AVE
BALTIMORE MD
21215-1641
US

IV. Provider business mailing address

6810 PARK HEIGHTS AVE
BALTIMORE MD
21215-1641
US

V. Phone/Fax

Practice location:
  • Phone: 410-358-3000
  • Fax: 410-358-3146
Mailing address:
  • Phone: 410-358-3000
  • Fax: 410-358-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD21916
License Number StateMD

VIII. Authorized Official

Name: DR. SEAN R. O'BRIEN
Title or Position: PRESIDENT/PHYSICIAN
Credential: M.D.
Phone: 410-358-3000