Healthcare Provider Details

I. General information

NPI: 1316922743
Provider Name (Legal Business Name): SHERMAN ALFRED MCCALL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 RESEARCH BLVD MOLECULAR PATHOLOGY, B101
ROCKVILLE MD
20850
US

IV. Provider business mailing address

1910 EVANS PKWY
SILVER SPRING MD
20902-4119
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-0297
  • Fax:
Mailing address:
  • Phone: 301-681-0015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number0101045277
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: