Individual
EDANA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(410) 682-7046
Mailing address
6201 GREENLEIGH BUILDING, MIDDLE RIVER, MD 21220-2004
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0056092
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140801100
—
MD
01
—
75859901
BLUE SHIELD
MD
01
—
P00329343
RAILROAD MED
MD
Enumeration date
06/06/2006
Last updated
05/16/2022
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