Individual
DR. ERIC JORDAN GUIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7811 MONTROSE RD STE 340, POTOMAC, MD 20854-3363
(301) 588-7888
(301) 587-5002
Mailing address
7811 MONTROSE RD STE 220, POTOMAC, MD 20854-3353
(301) 588-7888
(301) 587-5002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101048078
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D52504
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010148421
—
VA
01
—
143533
ANTHEM BCBS
VA
01
—
200016574
MEDICARE RAILROAD RETRMNT
VA
01
—
34310002
CAREFIRST BCBS
DC
01
—
548274
ALLIANCE PPO
VA
Enumeration date
04/11/2006
Last updated
05/23/2019
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