| Eric L. Weisbrot, M.d., P.a. | |
|
1021 N Calvert St Baltimore MD 21202-3823 | |
| (410) 637-8255 | |
| (410) 637-8277 |
| Full Name | Eric L. Weisbrot, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| 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 |
|---|---|
| Eric L. Weisbrot, M.d., P.a. 1021 N Calvert St Baltimore MD 21202-3823 Ph: (410) 637-8255 | Eric L. Weisbrot, M.d., P.a. 1021 N Calvert St Baltimore MD 21202-3823 Ph: (410) 637-8255 |
| NPI Number | 1790812808 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 12/08/2008 |
| Medicare PECOS PAC ID | 4082802145 |
|---|---|
| Medicare Enrollment ID | O20101216000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790812808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0021487 (Maryland) | Primary |
| Provider Name | Eric L Weisbrot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285626044 PECOS PAC ID: 7517155682 Enrollment ID: I20101216000608 |
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