Healthcare Provider Details

I. General information

NPI: 1578746293
Provider Name (Legal Business Name): CONSTANTINE G. LAMBROU, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 12/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 NEWTON ST
SALISBURY MD
21801-5433
US

IV. Provider business mailing address

204 NEWTON ST
SALISBURY MD
21801-5433
US

V. Phone/Fax

Practice location:
  • Phone: 410-742-2500
  • Fax: 410-546-0621
Mailing address:
  • Phone: 410-742-2500
  • Fax: 410-546-0621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License NumberD16607
License Number StateMD

VIII. Authorized Official

Name: DR. CONSTANTINE GEORGE LAMBROU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-742-2500