Organization
ERICKSON EMPLOYEE HEALTH AND WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J. NARRETT MD (EXECUTIVE VP, CMO)
(410) 402-2261
Entity
Organization
Contact information
Practice address
3160 GRACEFIELD RD, SILVER SPRING, MD 20904-1986
(443) 883-4652
(443) 883-4933
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 402-2261
(410) 402-2264
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26573538
TRICARE
—
Enumeration date
10/16/2007
Last updated
11/14/2008
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