Provider Demographics
NPI:1376607556
Name:SIMMONS OBRIEN & ORLINSKY LLC
Entity Type:Organization
Organization Name:SIMMONS OBRIEN & ORLINSKY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:JULIE
Authorized Official - Last Name:ORLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-821-7546
Mailing Address - Street 1:8320 BELLONA AVENUE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-821-7546
Mailing Address - Fax:410-821-7576
Practice Address - Street 1:8320 BELLONA AVENUE
Practice Address - Street 2:SUITE 20
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-821-7546
Practice Address - Fax:410-821-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KEY7OtherBLUE SHIELD
631MMedicare ID - Type Unspecified