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Individual

DR. ERIC MICHAEL LY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9386
Mailing address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P25296
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101260063
VA

Other

Enumeration date
05/11/2010
Last updated
06/01/2017
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