Basic Information
Provider Information
NPI: 1124012182
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOHL
FirstName: BARRY
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 520 UPPER CHESAPEAKE DR
Address2: SUITE 201
City: BEL AIR
State: MD
PostalCode: 210144339
CountryCode: US
TelephoneNumber: 4436433800
FaxNumber: 4436433856
Practice Location
Address1: 520 UPPER CHESAPEAKE DR
Address2: SUITE 201
City: BEL AIR
State: MD
PostalCode: 210144339
CountryCode: US
TelephoneNumber: 4436433800
FaxNumber: 4436433856
Other Information
ProviderEnumerationDate: 09/07/2005
LastUpdateDate: 06/24/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XD0022097MDY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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