Individual
CAROL MARTIN BAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
7500 SECURITY BLVD, BALTIMORE, MD 21244-1849
(419) 786-6960
Mailing address
6509 EVENSONG MEWS, COLUMBIA, MD 21044-6064
(410) 531-6936
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D42705
MD
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D42705
MD
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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