Organization
ERNEST UZICANIN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST UZICANIN M.D. (PRESIDENT)
(301) 745-3695
Entity
Organization
Contact information
Practice address
19236 MEADOW VIEW DR, HAGERSTOWN, MD 21742-2924
(301) 745-3695
(301) 745-4572
Mailing address
19236 MEADOW VIEW DR, HAGERSTOWN, MD 21742-2924
(301) 745-3695
(301) 745-4572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0040622
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080103436
RAILROAD MEDICARE
MD
01
—
0U04
BCBS
—
01
—
359Q
MEDICARE ID
MD
01
—
68550001
FEDERAL BCBS
—
Enumeration date
07/09/2013
Last updated
07/09/2013
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