Individual
DR. EUGENE E PROTZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078
(410) 939-6477
(410) 939-6555
Mailing address
2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078
(410) 939-6477
(410) 939-6555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D34971
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155131100
—
MD
01
—
53366001
CAREFIRST BLUEHSHIELD
MD
01
—
W2450001
FEDERAL BLUESHIELD
—
Enumeration date
06/01/2005
Last updated
06/02/2023
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