Ellie P Goldbloom in Owings Mills - Internal Medicine

Ellie P Goldbloom - NPI 1437135092

Ellie P Goldbloom is a Internal Medicine in Owings Mills, Maryland. Ellie P Goldbloom practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ellie P Goldbloom is 1437135092. The last update date is 2010-04-16.

Ellie P Goldbloom's current location address is 21 Crossroads Dr, Owings Mills, Maryland. You can contact this provider via phone number 4109989100 and fax number 4109989104. The mailing address for Ellie P Goldbloom is 21 Crossroads Dr, Owings Mills, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellie P Goldbloom
Address 21 Crossroads Dr, Owings Mills, Maryland
Phone Number 4109989100
Fax Number 4109989104
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1437135092
Provider Enumeration Date 2005-12-15
Last Updated Date 2010-04-16

Provider Mailing Address Detail

Address 21 Crossroads Dr
City Owings Mills
State Maryland (MD)
Post Code 211175441
Phone Number 4109989100
Fax Number 4109989104

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No D0053968
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
654003100 MD --
P00759902 MD R/R MEDICARE PIN
C31152 MD R/R MEDICARE GROUP PIN

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FAQs about Ellie P Goldbloom

What is the unique identifier code issued to Ellie P Goldbloom by the Centers for Medicare & Medicaid Services (CMS)?

The Ellie P Goldbloom has been assigned the NPI (National Provider Identifier) 1437135092. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Ellie P Goldbloom's physical address?

The Ellie P Goldbloom is physically located at 21 Crossroads Dr, in the city of Owings Mills, MD, with the postal code 211175441.

What is Ellie P Goldbloom's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ellie P Goldbloom's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

When did Ellie P Goldbloom receive its 1437135092 assignment?

The Ellie P Goldbloom was assigned its 1437135092 on 2005-12-15, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Ellie P Goldbloom most recently updated or revised?

The details related to Ellie P Goldbloom, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-16.

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