Healthcare Provider Details

I. General information

NPI: 1407810682
Provider Name (Legal Business Name): WILLIAM SPENCER-STRONG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N CALVERT ST JOHNSTON PROF BLDG, STE 210
BALTIMORE MD
21218-2867
US

IV. Provider business mailing address

3333 N CALVERT ST JOHNSTON PROF BLDG, STE 210
BALTIMORE MD
21218-2867
US

V. Phone/Fax

Practice location:
  • Phone: 410-554-2223
  • Fax:
Mailing address:
  • Phone: 410-554-2223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0009433
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: