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Individual

THOMAS ENELOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3455 WILKENS AVE STE 208, BALTIMORE, MD 21229-5265
(410) 644-4320
Mailing address
3455 WILKENS AVE STE 208, BALTIMORE, MD 21229-5265
(410) 644-4320

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
D52540
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D52540
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61489901
BLUE SHIELD
MD
01
W2270002
GHI
DC
Enumeration date
09/25/2006
Last updated
09/11/2025
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