Organization
DRESNICK STERLING EMERGENCY PHYSICIANS OF MARYLAND PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C PINELL MD (AUTHORIZED OFFICIAL)
(904) 805-1300
Entity
Organization
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1000
(904) 805-1302
Mailing address
PO BOX 827413, PHILADELPHIA, PA 19182-7413
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051831002
—
MD
01
—
610061900
DEPARTMENT OF LABOR
MH
01
—
CK2674
RAILROAD MEDICARE
MD
01
—
H320DR
BLUE SHIELD
MD
01
—
J949
DC BLUE CROSS
MH
Enumeration date
05/11/2006
Last updated
07/23/2008
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