Provider Demographics
NPI:1932256153
Name:BARONE, SAMUEL BRADLEY (MD)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:BRADLEY
Last Name:BARONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2002 MEDICAL PKWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3046
Mailing Address - Country:US
Mailing Address - Phone:410-224-6680
Mailing Address - Fax:410-224-4620
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:SUITE 450
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:410-224-6680
Practice Address - Fax:410-224-4620
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0056277207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology