Provider Demographics
NPI:1447455498
Name:ANTHONY J. DROBNICK, MD
Entity type:Organization
Organization Name:ANTHONY J. DROBNICK, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DROBNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-745-0375
Mailing Address - Street 1:PO BOX V
Mailing Address - Street 2:411 TALBOT STREET
Mailing Address - City:SAINT MICHAELS
Mailing Address - State:MD
Mailing Address - Zip Code:21663-0660
Mailing Address - Country:US
Mailing Address - Phone:410-745-0375
Mailing Address - Fax:410-745-0376
Practice Address - Street 1:PO BOX V
Practice Address - Street 2:411 TALBOT STREET
Practice Address - City:SAINT MICHAELS
Practice Address - State:MD
Practice Address - Zip Code:21663-0660
Practice Address - Country:US
Practice Address - Phone:410-745-0375
Practice Address - Fax:410-745-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050908261QM0801X
DCMD31563261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)