| Maryland Center For Neurology And Sleep | |
|
1412 Crain Hwy N Ste 6a Glen Burnie MD 21061-7000 | |
| (410) 761-3900 | |
| (410) 761-4500 |
| Full Name | Maryland Center For Neurology And Sleep |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1412 Crain Hwy N Ste 6a, Glen Burnie, Maryland |
| Authorized Official Name and Position | Hillary Wilson (NURSE) |
| Authorized Official Contact | 4107613900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Center For Neurology And Sleep 1412 Crain Hwy N Ste 6a Glen Burnie MD 21061-7000 Ph: (410) 761-3900 | Maryland Center For Neurology And Sleep 1412 Crain Hwy N Ste 6a Glen Burnie MD 21061-7000 Ph: (410) 761-3900 |
| NPI Number | 1730745159 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 05/31/2019 |
| Medicare PECOS PAC ID | 0446583413 |
|---|---|
| Medicare Enrollment ID | O20190605002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730745159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sangjin Oh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316966179 PECOS PAC ID: 7618035593 Enrollment ID: I20081021000765 |
| Provider Name | Robert E Reif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558406231 PECOS PAC ID: 0446359442 Enrollment ID: I20190710002955 |
| Provider Name | Nina Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205419777 PECOS PAC ID: 7416350855 Enrollment ID: I20210723002359 |
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