Organization · Type 2 NPI

Evernorth Care Providers - Delaware PA

General Practice Physician · Baltimore, MD

NPI number 1063284032 Active

Practice location

145 W Ostend St Ste 600
Baltimore, MD 21230-3774

Call (773) 292-4800 Map

Fax (312) 564-4059

Mailing address

730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1063284032

Evernorth Care Providers - Delaware PA's National Provider Identifier is 1063284032, issued on Oct 24, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 18, 2025.