Jack Laurence Wapner in Randallstown - Addiction Medicine
Jack Laurence Wapner - NPI 1164688677
Jack Laurence Wapner is a Addiction Medicine in Randallstown, Maryland. Jack Laurence Wapner practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jack Laurence Wapner is 1164688677. The last update date is 2008-08-04.
Jack Laurence Wapner's current location address is 11100 Liberty Rd, Randallstown, Maryland. You can contact this provider via phone number 4106552740 and fax number 4106554740. The mailing address for Jack Laurence Wapner is 11100 Liberty Rd, Randallstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Laurence Wapner |
|---|---|
| Address | 11100 Liberty Rd, Randallstown, Maryland |
| Phone Number | 4106552740 |
| Fax Number | 4106554740 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164688677 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 11100 Liberty Rd |
|---|---|
| City | Randallstown |
| State | Maryland (MD) |
| Post Code | 211331026 |
| Phone Number | 4106552740 |
| Fax Number | 4106554740 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | D0026048 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Post Comment/ Review Below
What is the unique identifier code issued to Jack Laurence Wapner by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Laurence Wapner has been assigned the NPI (National Provider Identifier) 1164688677. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jack Laurence Wapner's facilities are situated?
The facilities of Jack Laurence Wapner are physically located at the following address: 11100 Liberty Rd, Randallstown, MD, 211331026.
What is the Jack Laurence Wapner's specialty and taxonomy code?
The Jack Laurence Wapner's specialty is Addiction Medicine, and the corresponding taxonomy code is 2084A0401X.
On what date did the Jack Laurence Wapner receive the assignment of its 1164688677 from the Centers for Medicare & Medicaid Services?
The Jack Laurence Wapner was issued its 1164688677 by the Centers for Medicare & Medicaid Services on 2008-08-04.
As of what date was the information pertaining to Jack Laurence Wapner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Laurence Wapner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-04.