Healthcare Provider Details

I. General information

NPI: 1982789301
Provider Name (Legal Business Name): NEIL ERIC WARRES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 CHURCH LN SUITE 202
PIKESVILLE MD
21208-3786
US

IV. Provider business mailing address

2910 OLD COURT RD
BALTIMORE MD
21208-3311
US

V. Phone/Fax

Practice location:
  • Phone: 410-484-0989
  • Fax: 410-484-0989
Mailing address:
  • Phone: 410-484-0989
  • Fax: 410-484-0989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0024284
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberD0024284
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: