Healthcare Provider Details

I. General information

NPI: 1174526438
Provider Name (Legal Business Name): PETER B. HALMOS, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MEMORIAL AVE
CUMBERLAND MD
21502-3765
US

IV. Provider business mailing address

PO BOX 1572
CUMBERLAND MD
21501-1572
US

V. Phone/Fax

Practice location:
  • Phone: 301-724-8728
  • Fax: 301-724-7429
Mailing address:
  • Phone: 301-724-8728
  • Fax: 301-724-7429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER B HALMOS
Title or Position: M.D.
Credential: M.D.
Phone: 301-724-8728