Individual
DR. DONNA LENORE BEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
813-1 CHESAPEAKE DRIVE, CAMBRIDGE, MD 21613-9401
(410) 221-2266
(410) 221-2878
Mailing address
813-1 CHESAPEAKE DRIVE, CAMBRIDGE, MD 21613-9401
(410) 221-2266
(410) 221-2878
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0055871
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010618101
FED TAX ID #
MD
05
—
130801700
—
MD
01
—
15-32517
COVENTRY
MD
01
—
2128183
MAMSI INDIVIDUAL #
MD
01
—
220946-000
MAGELLAN MIS#
MD
01
—
264849
COMPSYCH
MD
01
—
388898
MAMSI GROUP #
MD
01
—
4540864
AETNA INDIVIDUAL #
MD
05
—
479302100
—
MD
01
—
733191
NCPPO
MD
01
—
7592348
AETNA GROUP #
MD
01
—
F793 0010
BCBS - FEDERAL
MD
01
—
KBM9 60623102
BCBS- STATE
MD
Enumeration date
02/19/2007
Last updated
12/13/2016
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