Individual
DR. LAURENCE C BEZIRDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3455 WILKENS AVE, SUITE 100, BALTIMORE, MD 21229-5213
(410) 646-0330
(410) 644-6182
Mailing address
3455 WILKENS AVE, SUITE 100, BALTIMORE, MD 21229-5213
(410) 646-0330
(410) 644-6182
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0028045
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900619
AMERICHOICE PROV. NUMBER
MD
01
—
20679013
UNITED HEALTHCARE PROV.
MD
01
—
40766
MAMSI PROVIDER NUMBER
MD
01
—
41096803
CAREFIRST BCBS OF MD
MD
05
—
465491900
—
MD
01
—
E6120001
BCBS FEDERAL
MD
Enumeration date
01/17/2007
Last updated
04/07/2009
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