MEDICARE: ALLERGY & ASTHMA CARE OF MARYLAND PC

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	174400000X	Specialist	D43763	MD

General Provider Information

NPI Number	:	1154480796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY & ASTHMA CARE OF MARYLAND PC

Provider Business Mailing Address
First Line	:	10801 LOCKWOOD DR STE 180
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1559
Country	:	US
Telephone Number	:	301-587-1127
Fax Number	:	301-587-1129

Provider Business Practice Location Address
First Line	:	10801 LOCKWOOD DR STE 180
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1559
Country	:	US
Telephone Number	:	301-587-1127
Fax Number	:	301-587-1129

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDWARD STANLEY YANOWITZ
Credential	:	M.D.
Telephone Number	:	301-587-1127

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/16/2016

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