| Doctor Name: | DR. ALLAN JAY CHIRCUS |
| NPI Number: | 1093708810 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D29085 |
| Business Practice Address: | 5310 Old Court Rd Ste 201 Randallstown, MD - 211335243 |
| Business Phone Number: | 4106551144 |
| Business Fax Number: | 4109227059 |
| Mailing Address: | 5310 Old Court Rd, Ste 201 RANDALLSTOWN |
| State: | MD |
| Postal Code: | 211335243 |
| Phone Number: | 4106551144 |
| Fax Number: | 4109227059 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 02/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D29085 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |