| Infectious Disease Associates, P.a. | |
|
2850 N Ridge Rd Suite 203 Ellicott City MD 21043-3464 | |
| (410) 418-8550 | |
| (410) 418-8552 |
| Full Name | Infectious Disease Associates, P.a. |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2850 N Ridge Rd, Ellicott City, Maryland |
| Authorized Official Name and Position | Benjamin Mark Landrum (PRESIDENT) |
| Authorized Official Contact | 4104188550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates, P.a. Po Box 2377 Ellicott City MD 21041-2377 Ph: (410) 418-8550 | Infectious Disease Associates, P.a. 2850 N Ridge Rd Suite 203 Ellicott City MD 21043-3464 Ph: (410) 418-8550 |
| NPI Number | 1154434116 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 03/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154434116 | NPI | - | NPPES |
| G972 | Other | MD | BLUECHOICE MARYLAND GRP # |
| KES7IN | Other | MD | CAREFIRST, MARYLAND GRP # |
| DA5812 | Other | MD | RAILROAD MEDICARE GROUP # |
| 402077400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | D0057970 (Maryland) | Primary |
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