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Organization

CENTER FOR OCCUPATIONAL AND ENVIRONMENTAL NEUROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARCIE L HUFFMAN (ADMINISTRATOR)
(410) 433-2077
Entity
Organization

Contact information

Practice address
2 HAMILL RD, SUITE 225, BALTO, MD 21210-1815
(413) 433-2077
(410) 433-0622
Mailing address
2 HAMILL RD, SUITE 225, BALTO, MD 21210-1815
(413) 433-2077
(410) 433-0622

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D23424
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0865690006
CIGNA
01
11850
JOHNS HOPKINS EMPLOYEE HE
01
2227527
AETNA HMO
01
240256
MAMSI
MD
01
30396001
CAREFIRST BLUECROSS BLUES
05
328941901
MD
01
4138503 NON HMO
AETNA
MD
01
748305-29
CAREFIRST BLUECROSS BLUESHIELD
MD
01
T4310001
CAREFIRST FEDERAL
MD
01
T4310002
BLUECHOICE
Enumeration date
07/24/2006
Last updated
06/13/2008
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