=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306858576
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MALINOW OSTER &MALINOW, P.A
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2006
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2700 QUARRY LAKE DR STE290
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21209-3744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-484-4000
-----------------------------------------------------
Fax | 410-764-0225
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2700 QUARRY LAKE DR STE290
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21209-3744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-484-4000
-----------------------------------------------------
Fax | 410-764-0225
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE ADMINISTRATOR
-----------------------------------------------------
Name | MS. MECHEL LYNN DOWNS
-----------------------------------------------------
Credential | C.M.A
-----------------------------------------------------
Telephone | 410-484-4000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------