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Contact Information

ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA
10910 LITTLE PATUXENT PARKWAY
#200
COLUMBIA, MD21044
 Phone: 410-997-2770
 Fax: 410-997-0066
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Legal Medicine

173000000X
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELLICOTT CITY PRIMARY CARE PHYSICIANS PA · (Female)

NPI Number 1356643035
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2010
Last updated 09/17/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # D0067020
  • MD License # D67217
  • MD Medicaid 415060102
  • MD Medicaid 419513200
  • MD Medicaid 442008000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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