| Center For Occupational And Environmental Neurology | |
|
2 Hamill Rd Suite 225 Balto MD 21210-1815 | |
| (413) 433-2077 | |
| (410) 433-0622 |
| Full Name | Center For Occupational And Environmental Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2 Hamill Rd, Balto, Maryland |
| Authorized Official Name and Position | Marcie L Huffman (ADMINISTRATOR) |
| Authorized Official Contact | 4104332077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Occupational And Environmental Neurology 2 Hamill Rd Suite 225 Balto MD 21210-1815 Ph: (413) 433-2077 | Center For Occupational And Environmental Neurology 2 Hamill Rd Suite 225 Balto MD 21210-1815 Ph: (413) 433-2077 |
| NPI Number | 1912929639 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 06/13/2008 |
| Medicare PECOS PAC ID | 1254340938 |
|---|---|
| Medicare Enrollment ID | O20060406000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912929639 | NPI | - | NPPES |
| T4310002 | Other | BLUECHOICE | |
| T4310002 | Other | FEDERAL | |
| 11850 | Other | JOHNS HOPKINS EMPLOYEE HE | |
| 30396001 | Other | CAREFIRST BLUECROSS BLUES | |
| T4310001 | Other | MD | CAREFIRST FEDERAL |
| 2227527 | Other | AETNA HMO | |
| 328941901 | Medicaid | MD | |
| 240256 | Other | MD | MAMSI |
| 4138503 NON HMO | Other | MD | AETNA |
| 0865690006 | Other | CIGNA | |
| 748305-29 | Other | MD | CAREFIRST BLUECROSS BLUESHIELD |
| T4310001 | Other | MD | BLUECHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D23424 (Maryland) | Primary |
| Provider Name | Margit L Bleecker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306011762 PECOS PAC ID: 5698784379 Enrollment ID: I20131003000032 |
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