Provider Demographics
NPI:1699717603
Name:WHITE, RAYMOND M (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:M
Last Name:WHITE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-744-6156
Mailing Address - Fax:302-735-3845
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:HOLY CROSS HOSPITAL, EMERGENCY DEPT
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1483
Practice Address - Country:US
Practice Address - Phone:301-754-7500
Practice Address - Fax:301-754-7504
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0043539207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD191301800Medicaid
MDB07650Medicare UPIN
MD191301800Medicaid