Individual
DENEEN BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 MAIDEN CHOICE LN, BALTIMORE, MD 21228-3632
(410) 247-5602
(410) 242-1756
Mailing address
5525 RESEARCH PARK DR FL 4, BALTIMORE, MD 21228-4873
(410) 247-5602
(410) 242-1756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D44377
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008203100
—
MD
01
—
0404845
EVERCARE
—
01
—
093NER-528598-02
CAREFIRST BCBS OF MD
—
01
—
0943ER-528598-04
CAREFIRST BCBS OF MD
—
05
—
101021200
—
MD
01
—
52859802
BCBS
MD
01
—
T016-0037
BCBS-DC
—
Enumeration date
02/23/2006
Last updated
12/05/2014
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