Organization
BLAKESLEE AND EICHELBERGER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHA YVONNE BLAKESLEE DO (PRESIDENT BLAKESLEE & EICHELBERGER)
(410) 544-0053
Entity
Organization
Contact information
Practice address
479 JUMPERS HOLE RD, STE 304A BLAKESLEE & EICHELBERGER LLC, SEVERNA PARK, MD 21146
(410) 544-0053
(410) 544-7830
Mailing address
479 JUMPERS HOLE RD, STE 304A BLAKESLEE & EICHELBERGER LLC, SEVERNA PARK, MD 21146
(410) 544-0053
(410) 544-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D42146
MD
207R00000X
Internal Medicine Physician
H44184
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KJ46BL
BCBS
—
01
—
W285
NATL CAPITAL AREA
—
Enumeration date
10/31/2006
Last updated
12/22/2010
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