Dr Jonathan Eric Surell, MD | |
849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | |
(410) 494-1369 | |
(410) 494-2737 |
Full Name | Dr Jonathan Eric Surell |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 849 Fairmont Avenue, Towson, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508834185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0032242 (Maryland) | Primary |
Entity Name | Lifebridge Community Pediatrics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629495528 PECOS PAC ID: 6901023167 Enrollment ID: O20140812000403 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Eric Surell, MD 515 Fairmount Ave, Suite 200, Towson, MD 21286-5466 Ph: (410) 494-2799 | Dr Jonathan Eric Surell, MD 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 Ph: (410) 494-1369 |
Dr. Richard Michael Silberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 Fairmount Ave, Suite 200, Towson, MD 21286 Phone: 410-494-2799 Fax: 410-494-1211 | |
Dr. Nicolette D Morris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 York Rd, Towson, MD 21204 Phone: 410-825-6420 Fax: 410-825-5819 | |
Alison Faye Decker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 Lasalle Rd, Suite 105, Towson, MD 21286 Phone: 410-823-5232 | |
Melissa Emerson Lancer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
Jeffries L.g. Bucci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7600 Osler Drive, Suite 310, Towson, MD 21204 Phone: 410-296-2300 Fax: 410-296-3444 | |
Dr. Paul Zoltan Bodnar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 849 Fairmont Avenue, Suite 100a, Towson, MD 21286 Phone: 410-494-1369 Fax: 410-494-2737 | |
Dr. Kristen Miller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1120 |