person
Casper Ezra Cline, MD
Specialist in Frederick, Maryland
NPI 1063493609

Casper Ezra Cline is a Specialist based in Frederick, MD. Casper Ezra Cline practices in Frederick, MD and has the professional credentials of MD. The NPI Number for Casper Ezra Cline is 1063493609 and holds a License No. D16428 (Maryland).

The current practice location address for Casper Ezra Cline is 300 W 9Th St, Frederick, MD and can be reached out via phone at 301-662-8119 and via fax at 301-696-0985.

Location: 300 W 9Th St, Frederick, MD, 21701-4541
person
Provider Profile Details
NPI Number
1063493609
Provider Name
Casper Ezra Cline
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 W 9Th St, Frederick, MD, 21701-4541
Phone Number
301-662-8119
Fax Number
301-696-0985
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110047911 01 MD MEDICARE RAILROAD
252321300 05 MD
1063493609 01 MD MEDICAID NPI
institution
Provider Business Practice Location Address Details
Address
300 W 9Th St
City
State
Zip
21701-4541
Phone Number
301-662-8119
Fax Number
301-696-0985
person
Provider Business Mailing Address Details
Address
300 W 9Th St
City
State
Zip
21701-4541
Phone Number
301-662-8119
Fax Number
301-696-0985
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
D16428 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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