Provider Demographics
NPI:1386376499
Name:MARYLAND MINDS LLC
Entity type:Organization
Organization Name:MARYLAND MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GELBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-750-2744
Mailing Address - Street 1:11309 COMMONWEALTH DR APT 303
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2812
Mailing Address - Country:US
Mailing Address - Phone:610-357-7541
Mailing Address - Fax:
Practice Address - Street 1:11309 COMMONWEALTH DR APT 303
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2812
Practice Address - Country:US
Practice Address - Phone:610-357-7541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty