Healthcare Provider Details

I. General information

NPI: 1942646559
Provider Name (Legal Business Name): GEORGE BISHOP ALBRIGHT III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 W RIDGELY RD SUITE 310
TIMONIUM MD
21093-5103
US

IV. Provider business mailing address

170 W RIDGELY RD SUITE 310
TIMONIUM MD
21093-5103
US

V. Phone/Fax

Practice location:
  • Phone: 410-308-4377
  • Fax: 410-308-4300
Mailing address:
  • Phone: 410-308-4377
  • Fax: 410-308-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberD0022126
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: