Provider Demographics
NPI:1518159946
Name:GARY LEE EHRLICH M.D. P.A.
Entity Type:Organization
Organization Name:GARY LEE EHRLICH M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EHRLICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-828-8040
Mailing Address - Street 1:7401 OSLER DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7673
Mailing Address - Country:US
Mailing Address - Phone:410-828-8040
Mailing Address - Fax:414-828-8041
Practice Address - Street 1:7401 OSLER DR
Practice Address - Street 2:SUITE 112
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7673
Practice Address - Country:US
Practice Address - Phone:410-828-8040
Practice Address - Fax:414-828-8041
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARY LEE EHRLICH M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty