person
Dr. Allan Jay Chircus, MD
General Practice Physician in Randallstown, Maryland
NPI 1093708810

Allan Jay Chircus is a General Practice Physician based in Randallstown, MD. Allan Jay Chircus practices in Randallstown, MD and has the professional credentials of MD. The NPI Number for Allan Jay Chircus is 1093708810 and holds a License No. D29085 (Maryland).

The current practice location address for Allan Jay Chircus is 5310 Old Court Rd, Randallstown, MD and can be reached out via phone at 410-655-1144 and via fax at 410-922-7059.

Location: 5310 Old Court Rd, Randallstown, MD, 21133-5243
person
Provider Profile Details
NPI Number
1093708810
Provider Name
Allan Jay Chircus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5310 Old Court Rd, Randallstown, MD, 21133-5243
Phone Number
410-655-1144
Fax Number
410-922-7059
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0400947 01 AMERICHOICE
817268 01 MDIPA OPT CHOICE MAMSI
T411 01 BLUE CHOICE
T411 01 FEP
064141300 05 MD
0641413 01 COVENTRY
0456522 01 AETNA
institution
Provider Business Practice Location Address Details
Address
5310 Old Court Rd
City
State
Zip
21133-5243
Phone Number
410-655-1144
Fax Number
410-922-7059
person
Provider Business Mailing Address Details
Address
5310 Old Court Rd
City
State
Zip
21133-5243
Phone Number
410-655-1144
Fax Number
410-922-7059
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D29085 (Maryland)
Definition
Definition to come...
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