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NPI Code Detail

MEDICARE: DR. ERIC LEE ANDERSON M.D.

MEDICARE: DR. ERIC LEE ANDERSON 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
12084P0800XPsychiatry PhysicianD0065309MD

General Provider Information

NPI Number : 1588642599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC LEE ANDERSON M.D.
Provider Business Mailing Address
First Line : 298 ASTON FOREST LN
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-1606
Country : US
Telephone Number : 410-923-0843
Fax Number :
Provider Business Practice Location Address
First Line : 300 BYRN ST
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1908
Country : US
Telephone Number : 410-822-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 06/26/2013

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Directions to “ DR. ERIC LEE ANDERSON M.D.” Practice Location

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