Pfau, Richard Gordon

Pfau, Richard Gordon is an individual health care provider with primary practice located at 810 Landmark Dr Ste 117-119 , Glen Burnie MD 21061-4987. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Pfau, Richard Gordon can be contacted via phone (410) 766-0111.

Contact Information

Primary practice address
810 Landmark Dr Ste 117-119 Glen Burnie MD 21061-4987
Phone: (410) 766-0111
Fax: (410) 582-9155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0029194 Maryland
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X D0029194 Maryland

Profile Details

NPI number 1518935485
LBN Legal business name Pfau, Richard Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 3rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518935485 NPPES
Maryland MEDICAID 339061603

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