Provider Demographics
NPI:1336463017
Name:RADIN-AITKEN, BETHANY LYN (DO)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:LYN
Last Name:RADIN-AITKEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 BREWSTER ST
Mailing Address - Street 2:
Mailing Address - City:ARBUTUS
Mailing Address - State:MD
Mailing Address - Zip Code:21227-2721
Mailing Address - Country:US
Mailing Address - Phone:443-742-7773
Mailing Address - Fax:
Practice Address - Street 1:110 S PACA ST FL 2
Practice Address - Street 2:PULMONARY/ CRITICAL CARE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1642
Practice Address - Country:US
Practice Address - Phone:410-328-1151
Practice Address - Fax:410-328-6433
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH78129207P00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine