Pushkin, Gary William
Pushkin, Gary William is an individual health care provider with primary practice located at 2506 Saint Paul Street , Baltimore MD 21218. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pushkin, Gary William can be contacted via phone (410) 235-3300.Contact Information
Primary practice address
2506 Saint Paul Street
Baltimore MD 21218
Phone: (410) 235-3300
Fax: (410) 366-1260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0024470 | Maryland |
| Other Service Providers / Specialist | 174400000X | MD60569954 | Washington |
Profile Details
| NPI number | 1871587212 |
|---|---|
| LBN Legal business name | Pushkin, Gary William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871587212 | NPPES |
| Maryland | MEDICAID | 377641700 |
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