MEDICARE: LOUIS A. SHPRITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	D0008333	MD

General Provider Information

NPI Number	:	1104872035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS A. SHPRITZ M.D.

Provider Business Mailing Address
First Line	:	806 LANDMARK DR
Second Line	:	SUITE 118
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-4980
Country	:	US
Telephone Number	:	410-670-9400
Fax Number	:	410-787-1911

Provider Business Practice Location Address
First Line	:	806 LANDMARK DR
Second Line	:	SUITE 118
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-4980
Country	:	US
Telephone Number	:	410-670-9400
Fax Number	:	410-787-1911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/25/2007

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