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NPI Code Detail

MEDICARE: EILEEN COELUS MD

MEDICARE: EILEEN COELUS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianD39140MD

General Provider Information

NPI Number : 1073501730
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN COELUS MD
Provider Business Mailing Address
First Line : 100 WALTER WARD BLVD
Second Line : SUITE 200
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8484
Fax Number : 443-512-8488
Provider Business Practice Location Address
First Line : 100 WALTER WARD BLVD
Second Line : SUITE 200
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8484
Fax Number : 443-512-8488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 08/26/2008

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Directions to “ EILEEN COELUS MD” Practice Location

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