MEDICARE: MAURICE N REID 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	207P00000X	Emergency Medicine Physician	D0058088	MD
2	174400000X	Specialist	D0058088	MD

General Provider Information

NPI Number	:	1679573687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE N REID M.D.

Provider Business Mailing Address
First Line	:	1505 CHURCHVILLE ROAD
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21015
Country	:	US
Telephone Number	:	410-420-6970
Fax Number	:	410-420-6967

Provider Business Practice Location Address
First Line	:	2214 OLD EMMORTON RD STE 210
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21015-6470
Country	:	US
Telephone Number	:	443-402-1139
Fax Number	:	443-402-1368

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

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	08/15/2024

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