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1659376713

NPI Code Detail

MEDICARE: DR. PETER THOMAS ORLIC MD

MEDICARE: DR. PETER THOMAS ORLIC MD

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	207R00000X	Internal Medicine Physician	25MA6840000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659376713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER THOMAS ORLIC MD

Provider Business Mailing Address
First Line	:	5730 EXECUTIVE DR STE 230
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1762
Country	:	US
Telephone Number	:	973-831-3540
Fax Number	:	973-831-3503

Provider Business Practice Location Address
First Line	:	1 CEDAR CREST VILLAGE DR
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-2100
Country	:	US
Telephone Number	:	973-831-3540
Fax Number	:	973-831-3503

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	04/03/2023

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Directions to “ DR. PETER THOMAS ORLIC MD” 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.

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