Male or Other

Thomas Enelow M.D.

Full Name

Thomas Enelow M.D.

NPI Number

1881794014

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/25/2006

Specialties

(Taxonomies)

Licenses

State

Maryland

License Number

D52540

Contact
Information

Purpose

Mailing
Location

Address

3455 WILKENS AVE STE 208
3455 WILKENS AVE STE 208

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21229-5265
21229-5265

Country

US
US

Telephone Number

(410) 644-4320
(410) 644-4320

Identifiers

Identifier

61489901
W2270002

Identifier State

MD
DC

Identifier Issuer

BLUE SHIELD
GHI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address