Provider Demographics
NPI:1699474452
Name:ALAN GERINGER, MD LLC
Entity type:Organization
Organization Name:ALAN GERINGER, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:GERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-970-6438
Mailing Address - Street 1:722 DULANEY VALLEY RD # 141
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5109
Mailing Address - Country:US
Mailing Address - Phone:443-827-7117
Mailing Address - Fax:410-558-6476
Practice Address - Street 1:750 MAIN ST STE 310
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-2517
Practice Address - Country:US
Practice Address - Phone:443-827-7117
Practice Address - Fax:410-558-6476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty