Healthcare Provider Details

I. General information

NPI: 1780781773
Provider Name (Legal Business Name): EFIGENIA OCCENA GELI-GEOCADIN MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 N CHARLES ST
BALTIMORE MD
21218-5719
US

IV. Provider business mailing address

6501 N CHARLES ST GIBSON BLDG
BALTIMORE MD
21204-6819
US

V. Phone/Fax

Practice location:
  • Phone: 410-366-4360
  • Fax: 410-243-7948
Mailing address:
  • Phone: 410-938-4997
  • Fax: 410-938-5310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0059617
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: