Alvin J Detterline in Towson - Specialist
Alvin J Detterline - NPI 1316093180
Alvin J Detterline is a Specialist in Towson, Maryland. Alvin J Detterline practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alvin J Detterline is 1316093180. The last update date is 2013-11-13.
Alvin J Detterline's current location address is 8322 Bellona Ave, Towson, Maryland. You can contact this provider via phone number 4103377900 and fax number 4108211334. The mailing address for Alvin J Detterline is 8322 Bellona Ave, Towson, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alvin J Detterline |
|---|---|
| Address | 8322 Bellona Ave, Towson, Maryland |
| Phone Number | 4103377900 |
| Fax Number | 4108211334 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316093180 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2013-11-13 |
Provider Mailing Address Detail
| Address | 8322 Bellona Ave |
|---|---|
| City | Towson |
| State | Maryland (MD) |
| Post Code | 212042065 |
| Phone Number | 4103377900 |
| Fax Number | 4108211334 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35-088976 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D0067412 | MARYLAND BOP LICENSE |
Post Comment/ Review Below
What is the Alvin J Detterline's unique identification number?
The Alvin J Detterline has been assigned the NPI (National Provider Identifier) Number 1316093180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Alvin J Detterline is located?
The Alvin J Detterline is situated at the following address: 8322 Bellona Ave, Towson, MD, 212042065.
What is Alvin J Detterline's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alvin J Detterline is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When was the Alvin J Detterline's 1316093180 issued?
The Alvin J Detterline's 1316093180 was issued on 2007-01-26.
When was the information regarding Alvin J Detterline, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Alvin J Detterline, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-11-13.