| Infectious Diseases Consultants, Llc | |
|
200 E 33rd St Suite 640 Baltimore MD 21218-3322 | |
| (410) 366-4441 | |
| Not Available |
| Full Name | Infectious Diseases Consultants, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 E 33rd St, Baltimore, Maryland |
| Authorized Official Name and Position | Paul A Eder (PRESIDENT) |
| Authorized Official Contact | 4103664441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Consultants, Llc 200 E 33rd St Suite 640 Baltimore MD 21218-3322 Ph: (410) 366-4441 | Infectious Diseases Consultants, Llc 200 E 33rd St Suite 640 Baltimore MD 21218-3322 Ph: (410) 366-4441 |
| NPI Number | 1295848307 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5799965984 |
|---|---|
| Medicare Enrollment ID | O20110204000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295848307 | NPI | - | NPPES |
| E718 | Other | MD | BLUECHOICE # |
| LS78IN | Other | MD | CAREFIRST # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | D38282 (Maryland) | Primary |
| Provider Name | Paul A Eder |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366401515 PECOS PAC ID: 7012103567 Enrollment ID: I20101123000148 |
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