# BLAKESLEE AND EICHELBERGER LLC

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

## Provider details

- **NPI number:** 1447336615
- **Authorized official:** DR. MARSHA YVONNE BLAKESLEE DO (PRESIDENT BLAKESLEE & EICHELBERGER)
- **Authorized official phone:** (410) 544-0053

## Contact information

- **Practice address:** 479 JUMPERS HOLE RD, STE 304A BLAKESLEE & EICHELBERGER LLC, SEVERNA PARK, MD 21146
- **Practice address phone:** (410) 544-0053
- **Practice address fax:** (410) 544-7830
- **Mailing address:** 479 JUMPERS HOLE RD, STE 304A BLAKESLEE & EICHELBERGER LLC, SEVERNA PARK, MD 21146
- **Mailing address phone:** (410) 544-0053
- **Mailing address fax:** (410) 544-7830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D42146 | MD | Yes |
| 207R00000X | Internal Medicine Physician | H44184 | MD | — |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 12/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | KJ46BL | CAREFIRST | — |
| 01 | — | W285 | BCBS | — |