MEDICARE: MS. ALICE ANN ALDRICH PAC

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	363A00000X	Physician Assistant	C0000654	MD

General Provider Information

NPI Number	:	1184788234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICE ANN ALDRICH PAC

Provider Business Mailing Address
First Line	:	2101 EAST JEFFERSON STREET
Second Line	:	PPQA MEDICARE COMPLIANCE UNIT 6W ATTN THERESA BROOKS
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-6660
Fax Number	:	301-816-6308

Provider Business Practice Location Address
First Line	:	4920 CAMPBELL BOULEVARD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-5916
Country	:	US
Telephone Number	:	410-933-7600
Fax Number	:	410-933-7601

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1346315280 — KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Practice Location Address:

4920 CAMPBELL BOULEVARD
BALTIMORE, MD
21236-5916

Practice Phone: 410-933-7632
Practice Fax: 410-933-7668

1851459804 — DR. SUSAN WILLARD MD
Practice Location Address:

4920 CAMPBELL BOULEVARD
BALTIMORE, MD
21236-5916

Practice Phone: 410-933-7600
Practice Fax: 410-933-7601

1700944071 — DR. PAUL ANTHONY ZILIOLI MD
Practice Location Address:

4920 CAMPBELL BLVD
BALTIMORE, MD
21236-5916

Practice Phone: 410-933-7638
Practice Fax: 410-933-7802

Directions to “ MS. ALICE ANN ALDRICH PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.