Individual
ERIC PINN SUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6115 FALLS RD, STE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
(410) 377-8221
Mailing address
6115 FALLS RD, STE 300, BALTIMORE, MD 21209-2219
(410) 377-7611
(410) 377-8221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0051444
MD
207W00000X
Ophthalmology Physician
MD-039313-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01122501
CAPITAL BLUE CROSS
PA
01
—
0800581
AMERICHOICE
—
05
—
125529907
—
PA
01
—
1521347
GATEWAY
PA
05
—
215480300
—
MD
01
—
352783
MAMSI
MD
01
—
4368007009
CIGNA
—
01
—
452783
MDIPA
MD
01
—
54609505
CAREFIRST BC/BS
MD
01
—
680084
HIGHMARK BLUE SHIELD
PA
01
—
803254
AETNA
—
01
—
911736
BLOCK VISION
MD
01
—
R6160001
CAREFIRST BLUE CROSS
MD
Enumeration date
05/27/2005
Last updated
09/28/2012
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