# JEAN ANN BIALAS WOMENS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013135599
- **Authorized official:** DR. JEAN ANN BIALAS MD (OWNER)
- **Authorized official phone:** (301) 759-2900

## Contact information

- **Practice address:** 600 MEMORIAL AVE, SUITE 303, CUMBERLAND, MD 21502-3765
- **Practice address phone:** (301) 759-2900
- **Practice address fax:** (301) 759-4850
- **Mailing address:** 600 MEMORIAL AVE, SUITE 303 WOMENS MEDICAL, CUMBERLAND, MD 21502-3765
- **Mailing address phone:** (410) 872-9188
- **Mailing address fax:** (410) 872-9169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | D0051177 | MD | Yes |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1309902 | BCBS | PA |
| 01 | — | 1B02JL | BCBS | MD |
| 05 | — | 690404100 | — | MD |
| 01 | — | G725 | BCBS | DC |