Individual
DR. EDDYE J BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7141 SECURITY BLVD, KASIER PERMANENTE WOODLAWN MEDICAL CENTER, BALTIMORE, MD 21244-1811
(443) 663-6000
(443) 663-6215
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D57214
MD
Other
Enumeration date
12/02/2006
Last updated
06/07/2021
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