Randolf Regan in Baltimore - Addiction (substance Use Disorder)

Randolf Regan - NPI 1962537100

Randolf Regan is a Addiction (substance Use Disorder) in Baltimore, Maryland. Randolf Regan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Randolf Regan is 1962537100. The last update date is 2007-07-08.

Randolf Regan's current location address is 23 N Bernice Ave, Baltimore, Maryland. You can contact this provider via phone number 4109670169 and fax number 4106876005. The mailing address for Randolf Regan is 23 N Bernice Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolf Regan
Address 23 N Bernice Ave, Baltimore, Maryland
Phone Number 4109670169
Fax Number 4106876005
Sole Proprietor Y
Credentials CAC-AD

NPI Number Detail

NPI Number 1962537100
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 23 N Bernice Ave
City Baltimore
State Maryland (MD)
Post Code 212293712
Phone Number 4109670169
Fax Number 4106876005

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No AC0043
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Randolf Regan

What is the unique provider identifier assigned to Randolf Regan?

The Randolf Regan has been issued the NPI (National Provider Identifier) 1962537100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Randolf Regan is physically located?

The Randolf Regan is physically situated at the following address: 23 N Bernice Ave, Baltimore, MD, 212293712.

What is Randolf Regan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randolf Regan is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did the Randolf Regan receive its 1962537100?

The Randolf Regan was issued its 1962537100 on 2007-02-21, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Randolf Regan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Randolf Regan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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