Healthcare Provider Details

I. General information

NPI: 1447383658
Provider Name (Legal Business Name): ROBERT MENY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 FRANKLIN SQUARE DR SUITE 300
BALTIMORE MD
21237-3900
US

IV. Provider business mailing address

11419 CRONRIDGE DR SUITE 9
OWINGS MILLS MD
21117-6281
US

V. Phone/Fax

Practice location:
  • Phone: 410-682-5282
  • Fax: 410-682-5286
Mailing address:
  • Phone: 410-902-4614
  • Fax: 410-902-8247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0029553
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: