Healthcare Provider Details

I. General information

NPI: 1922091792
Provider Name (Legal Business Name): MICHAEL HARRIS ARENSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 W DIAMOND AVE STE. 120
GAITHERSBURG MD
20878-1417
US

IV. Provider business mailing address

818 W DIAMOND AVE STE. 120
GAITHERSBURG MD
20878-1417
US

V. Phone/Fax

Practice location:
  • Phone: 301-963-6334
  • Fax: 301-869-7204
Mailing address:
  • Phone: 301-963-6334
  • Fax: 301-869-7204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD0044852
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: