Ellicott City Primary Care Medicine PA
NPI #1033391081 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1033391081
- Entity Type
- Organization
- Organization Name
- Ellicott City Primary Care Medicine PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 2, 2007
- Last Updated
- Sep 17, 2012
Practice Location
- Address
- 10298B BALTIMORE NATIONAL PIKE
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-3670
- Phone
- (410) 465-1091
Authorized Official
- Name
- DR. CHARLES EDWARD SHEEHAN III, M.D.
- Title
- PRESIDENT
- Phone
- (410) 465-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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