Individual
ERIC ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 SUDBROOK LN, BALTIMORE, MD 21208-4120
(410) 365-7086
(443) 940-1076
Mailing address
105 SUDBROOK LN, BALTIMORE, MD 21208-4120
(410) 365-7086
(443) 940-1076
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
87560
MD
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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