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)Code
207ZP0102X
207ZD0900X
Primary Taxonomy
No
No
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