Individual
CARL JEFFREY SCHLUEDERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9114 PHILADELPHIA RD, SUITE 106 - 108, BALTIMORE, MD 21237-4345
(410) 918-0777
(410) 369-1707
Mailing address
9114 PHILADELPHIA RD, SUITE 106 - 108, BALTIMORE, MD 21237-4345
(410) 918-0777
(410) 369-1707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0036951
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100095
AETNA HMO
—
01
—
4140404
AETNA PPO
—
01
—
883889
MANSI
—
01
—
W6560001
BLUE CHOICE
—
Enumeration date
12/29/2005
Last updated
02/17/2011
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