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Individual

DR. ERNEST UZICANIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19236 MEADOW VIEW DR, HAGERSTOWN, MD 21742-2924
(301) 745-3695
(301) 745-4572
Mailing address
19236 MEADOW VIEW DR, HAGERSTOWN, MD 21742-2924
(301) 745-3695
(301) 745-4572

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0040622
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080103436
RAILROAD MEDICARE
01
0U04
BCBS
MD
01
68550001
FEDERAL BCBS NASCO
Enumeration date
07/26/2006
Last updated
06/18/2013
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