Provider Demographics
NPI:1487084448
Name:MINIBARRX OF MARYLAND, P.C.
Entity type:Organization
Organization Name:MINIBARRX OF MARYLAND, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-466-4646
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 510
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-466-4646
Mailing Address - Fax:202-466-4776
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 510
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-466-4646
Practice Address - Fax:202-466-4776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD4797207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty