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Individual

DR. TIMOTHY S. ECKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2002 MEDICAL PKWY, SUITE 235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251
Mailing address
2002 MEDICAL PKWY, SUITE 235, ANNAPOLIS, MD 21401-3046
(410) 266-2770
(410) 841-6251

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
D0043946
MD
2085R0202X
Diagnostic Radiology Physician
MD061170L
PA
2085R0204X
Vascular & Interventional Radiology Physician
D0043946
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10690022
BCBS
MD
01
2622593
AETNA HMO/POS
MD
01
556W
AAD AA COUNTY
MD
01
557W
AAD SHIPLEYS
MD
01
8317071
AETNA PPO
MD
05
840200100
MD
01
A01
AAD PG COUNTY
MD
01
CK4885
GROUP PTAN BOWIE
MD
01
P00442257
PTAN BOWIE
MD
Enumeration date
11/07/2005
Last updated
02/27/2009
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