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NPI Code Detail

MEDICARE: ALLISON HALEY MD

MEDICARE: ALLISON HALEY 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
1208000000XPediatrics Physician3662MD
2208000000XPediatrics PhysicianD0097579MD

General Provider Information

NPI Number : 1750898656
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON HALEY MD
Provider Business Mailing Address
First Line : 6901 SECURITY BLVD STE 200
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-2412
Country : US
Telephone Number : 410-496-6441
Fax Number : 410-496-6448
Provider Business Practice Location Address
First Line : 3510 BRENBROOK DR
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-4902
Country : US
Telephone Number : 410-837-2050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2018
Last Update Date : 01/11/2024

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Directions to “ ALLISON HALEY MD” Practice Location

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