Individual
ENRIQUE B OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
723 E PATAPSCO AVE, BALTIMORE, MD 21225-1934
(410) 355-1532
Mailing address
723 E PATAPSCO AVE, BALTIMORE, MD 21225-1934
(410) 355-1532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DOO46313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1500772
EVERCARE
MD
05
—
677520900
—
MD
01
—
9895R
MD
MD
Enumeration date
10/07/2005
Last updated
01/02/2014
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