Healthcare Provider Details

I. General information

NPI: 1235203209
Provider Name (Legal Business Name): JOHN A APPIOTT DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 HAYMAN DRIVE
FEDERALSBURG MD
21632-2626
US

IV. Provider business mailing address

3304 HAYMAN DRIVE
FEDERALSBURG MD
21632-2626
US

V. Phone/Fax

Practice location:
  • Phone: 410-754-2440
  • Fax: 410-754-2443
Mailing address:
  • Phone: 410-754-2440
  • Fax: 410-754-2443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0047522
License Number StateMD

VIII. Authorized Official

Name: JOHN A APPIOTT
Title or Position: CEO
Credential: DO
Phone: 410-754-2440