IndividualActive
Jack Wapner, M.D.
NPI 1164688677 · Addiction Medicine (Psychiatry & Neurology) Physician · Randallstown, MD
Provider details
- NPI number
- 1164688677
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D0026048 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11100 Liberty Rd
Suite F
Randallstown, MD 21133-1026
Phone: (410) 655-2740
Fax: (410) 655-4740
Approximate (ZIP-level) locationGet directions
Mailing address
11100 Liberty Rd
Randallstown, MD 21133-1026
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2008-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.