Provider Demographics
NPI:1861706848
Name:CHERRY, JOEL M (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:M
Last Name:CHERRY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9050 IRON HORSE LN
Mailing Address - Street 2:SUITE 419
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2154
Mailing Address - Country:US
Mailing Address - Phone:410-484-5948
Mailing Address - Fax:410-484-5949
Practice Address - Street 1:9050 IRON HORSE LN
Practice Address - Street 2:SUITE 419
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2154
Practice Address - Country:US
Practice Address - Phone:410-484-5948
Practice Address - Fax:410-484-5949
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
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Provider Licenses
StateLicense IDTaxonomies
MDD004355208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD77954Medicare UPIN