Healthcare Provider Details

I. General information

NPI: 1821010943
Provider Name (Legal Business Name): ERICH FRANCIS WEDAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 ROCKLEDGE DRIVE SUITE 200 JOHNS HOPKINS COMMUNITY PHYSICIANS HEART CARE
BETHESDA MD
20817
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 301-897-5301
  • Fax:
Mailing address:
  • Phone: 301-897-5301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number25MA07014800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0076049
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: