Individual
DR. ERIC TYRELL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 HOPKINS BAYVIEW CIRCLE, BALTIMORE, MD 21224-6801
(410) 550-2300
Mailing address
5501 HOPKINS BAYVIEW CIRCLE, BALTIMORE, MD 21224-6801
(410) 550-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D77745
MD
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D77745
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D77745
LICENSE
MD
Enumeration date
06/19/2008
Last updated
08/28/2019
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