Enelow, Thomas

Enelow, Thomas is an individual health care provider with primary practice located at 3455 Wilkens Ave Ste 208 , Baltimore MD 21229-5265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Enelow, Thomas can be contacted via phone (410) 644-4320.

Contact Information

Primary practice address
3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265
Phone: (410) 644-4320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X D52540 Maryland
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X D52540 Maryland

Profile Details

NPI number 1881794014
LBN Legal business name Enelow, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1881794014 NPPES
Maryland Other 61489901 BLUE SHIELD
Maryland Other W2270002 BLUE SHIELD

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