Bezirdjian, Laurence C

Bezirdjian, Laurence C is an individual health care provider with primary practice located at 3455 Wilkens Ave Suite 100, Baltimore MD 21229-5213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bezirdjian, Laurence C can be contacted via phone (410) 646-0330.

Contact Information

Primary practice address
3455 Wilkens Ave Suite 100 Baltimore MD 21229-5213
Phone: (410) 646-0330
Fax: (410) 644-6182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0028045 Maryland

Profile Details

NPI number 1144372202
LBN Legal business name Bezirdjian, Laurence C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Apr 7th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144372202 NPPES
Maryland Other 40766 MAMSI PROVIDER NUMBER
Maryland Other 1900619 MAMSI PROVIDER NUMBER
Maryland Other 20679013 MAMSI PROVIDER NUMBER
Maryland Other E6120001 MAMSI PROVIDER NUMBER
Maryland Other E6120001 MAMSI PROVIDER NUMBER
Maryland Other 41096803 MAMSI PROVIDER NUMBER
Maryland MEDICAID 465491900 MAMSI PROVIDER NUMBER

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