Provider Demographics
NPI:1497961643
Name:BAILOWITZ, ANNE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:BAILOWITZ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 NEWLAND RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2512
Mailing Address - Country:US
Mailing Address - Phone:410-236-9285
Mailing Address - Fax:410-889-2941
Practice Address - Street 1:4 S FREDERICK ST FL 3
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4028
Practice Address - Country:US
Practice Address - Phone:410-236-9285
Practice Address - Fax:410-889-2941
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD26524208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics