Healthcare Provider Details

I. General information

NPI: 1679526271
Provider Name (Legal Business Name): HARBORVIEW ANESTHESIA ASSOCIATES-ALLAN M BIRENBERG M.D. P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 S HANOVER ST
BALTIMORE MD
21225-1233
US

IV. Provider business mailing address

29 CREAMERY LN
EASTON MD
21601-3137
US

V. Phone/Fax

Practice location:
  • Phone: 410-350-3341
  • Fax:
Mailing address:
  • Phone: 410-819-0710
  • Fax: 410-819-0712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0036220
License Number StateMD

VIII. Authorized Official

Name: DR. ALLAN M. BIRENBERG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-350-3341