Provider Demographics
NPI:1174526438
Name:PETER B. HALMOS, M.D.
Entity type:Organization
Organization Name:PETER B. HALMOS, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:B
Authorized Official - Last Name:HALMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-724-8728
Mailing Address - Street 1:PO BOX 1572
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21501-1572
Mailing Address - Country:US
Mailing Address - Phone:301-724-8728
Mailing Address - Fax:301-724-7429
Practice Address - Street 1:600 MEMORIAL AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3765
Practice Address - Country:US
Practice Address - Phone:301-724-8728
Practice Address - Fax:301-724-7429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3991PBOtherBLUE SHIELD
P00179749OtherRAILROAD MEDICARE
WV0087312000Medicaid
P00179749OtherRAILROAD MEDICARE