MEDICARE: DR. BONNIE LINDA ORZECH-NIXON M.D.

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
1	208000000X	Pediatrics Physician	D0039604	MD

General Provider Information

NPI Number	:	1841268562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BONNIE LINDA ORZECH-NIXON M.D.

Provider Business Mailing Address
First Line	:	750 MAIN ST
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-2515
Country	:	US
Telephone Number	:	410-526-7993
Fax Number	:	410-526-5144

Provider Business Practice Location Address
First Line	:	10084 REISTERSTOWN RD STE 200B
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4096
Country	:	US
Telephone Number	:	410-526-7993
Fax Number	:	410-526-5144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	12/21/2018

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Directions to “ DR. BONNIE LINDA ORZECH-NIXON M.D.” Practice Location

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