MEDICARE: EDWARD STANLEY YANOWITZ MD

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	207K00000X	Allergy & Immunology Physician	D0043763	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669477923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD STANLEY YANOWITZ MD

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/20/2010

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