| Blakeslee and Eichelberger LLC | |
|
479 Jumpers Hole Rd Ste 304a Blakeslee & Eichelberger Llc Severna Park MD 21146 | |
| (410) 544-0053 | |
| (410) 544-7830 |
| Full Name | Blakeslee and Eichelberger LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 479 Jumpers Hole Rd, Severna Park, Maryland |
| Authorized Official Name and Position | Marsha Yvonne Blakeslee (PRESIDENT BLAKESLEE & EICHELBERGER) |
| Authorized Official Contact | 4105440053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blakeslee and Eichelberger LLC 479 Jumpers Hole Rd Ste 304a Blakeslee & Eichelberger Llc Severna Park MD 21146 Ph: (410) 544-0053 | Blakeslee and Eichelberger LLC 479 Jumpers Hole Rd Ste 304a Blakeslee & Eichelberger Llc Severna Park MD 21146 Ph: (410) 544-0053 |
| NPI Number | 1447336615 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 12/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447336615 | NPI | - | NPPES |
| W285 | Other | BCBS | |
| KJ46BL | Other | CAREFIRST | |
| W285 | Other | NATL CAPITAL AREA | |
| KJ46BL | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H44184 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | D42146 (Maryland) | Primary |
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