| David M. Cromwell, M.d., P.a. | |
|
10751 Falls Rd Ste 401 Lutherville MD 21093-4517 | |
| (410) 583-2920 | |
| (410) 583-2925 |
| Full Name | David M. Cromwell, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10751 Falls Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Christine Mary Dennison (OFFICE MANAGER) |
| Authorized Official Contact | 4105832920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Cromwell, M.d., P.a. 10751 Falls Rd Ste 401 Lutherville MD 21093-4517 Ph: (410) 583-2920 | David M. Cromwell, M.d., P.a. 10751 Falls Rd Ste 401 Lutherville MD 21093-4517 Ph: (410) 583-2920 |
| NPI Number | 1326231424 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Medicare PECOS PAC ID | 0042259798 |
|---|---|
| Medicare Enrollment ID | O20050502000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326231424 | NPI | - | NPPES |
| 4052463 00 | Medicaid | MD | |
| 53589302 | Other | MD | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0047832 (Maryland) | Primary |
| Provider Name | David M Cromwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063415271 PECOS PAC ID: 2062444300 Enrollment ID: I20100226000787 |
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