Organization
ELIASSON MEDICAL SYSTEMS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORN, ELIASSON MD, MPH (PRESIDENT)
(410) 391-0646
Entity
Organization
Contact information
Practice address
9106 PHILADELPHIA RD, SUITE 208, BALTIMORE, MD 21237-4329
(410) 391-0646
(410) 391-8565
Mailing address
9106 PHILADELPHIA RD, SUITE 208, BALTIMORE, MD 21237-4329
(410) 391-0646
(410) 391-8565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D31076
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D31076
MD
207RP1001X
Pulmonary Disease Physician
Primary
D31076
MD
2083X0100X
Occupational Medicine Physician
D31076
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406471200
—
MD
Enumeration date
05/28/2008
Last updated
05/29/2008
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