Individual
JASON M BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 S ATWOOD RD, SUITE 206, BEL AIR, MD 21014-4172
(410) 638-7544
(410) 638-2221
Mailing address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7921
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0056296
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0056296
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028 E554
BLUE CHOICE/FEP
MD
01
—
2206919
UNITED HEALTHCARE
—
01
—
299092
MAMSI
—
01
—
405442
UNITED HEALTHCARE MCO
—
01
—
61621801 420A
BLUE SHIELD
MD
01
—
P00257771
RAILROAD MEDICARE
—
Enumeration date
10/05/2006
Last updated
06/14/2017
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