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NPI Code Detail

MEDICARE: NATHAN ERIC CARNELL MD

MEDICARE:   NATHAN ERIC CARNELL  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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianD0035695MD

Other Identifiers

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

General Provider Information

NPI Number : 1861406753
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN ERIC CARNELL MD
Provider Business Mailing Address
First Line : 7211 BANK CT
Second Line : SUITE 240
City : FREDERICK
State : MD
Zip : 21703-8483
Country : US
Telephone Number : 240-215-1454
Fax Number : 240-215-1453
Provider Business Practice Location Address
First Line : 7211 BANK CT
Second Line : SUITE 240
City : FREDERICK
State : MD
Zip : 21703-8483
Country : US
Telephone Number : 240-215-1454
Fax Number : 240-215-1453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 04/30/2019

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Directions to “ NATHAN ERIC CARNELL MD” Practice Location

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