MEDICARE: DR. CAROL JEAN POSNER 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	2084P0800X	Psychiatry Physician	D09427	MD

General Provider Information

NPI Number	:	1912088329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL JEAN POSNER MD

Provider Business Mailing Address
First Line	:	7701 TRAVERTINE DR UNIT 205
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-5316
Country	:	US
Telephone Number	:	410-363-8790
Fax Number	:	410-363-7638

Provider Business Practice Location Address
First Line	:	7701 TRAVERTINE DR UNIT 205
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21209-5316
Country	:	US
Telephone Number	:	410-363-8790
Fax Number	:

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2020

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