Elw, Md, Llc | |
1021 N Calvert St Baltimore MD 21202-3823 | |
(410) 637-8255 | |
(410) 637-8277 |
Full Name | Elw, Md, Llc |
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Speciality | Family Medicine |
Location | 1021 N Calvert St, Baltimore, Maryland |
Authorized Official Name and Position | Eric L. Weisbrot (PRESIDENT) |
Authorized Official Contact | 4106378255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elw, Md, Llc Po Box 13066 Baltimore MD 21203-3066 Ph: (410) 637-8255 | Elw, Md, Llc 1021 N Calvert St Baltimore MD 21202-3823 Ph: (410) 637-8255 |
NPI Number | 1376382242 |
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Provider Enumeration Date | 05/21/2024 |
Last Update Date | 05/21/2024 |
Medicare PECOS PAC ID | 1052853074 |
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Medicare Enrollment ID | O20240606000070 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376382242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Eric L Weisbrot |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285626044 PECOS PAC ID: 7517155682 Enrollment ID: I20101216000608 |
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