Provider Demographics
NPI:1780643890
Name:BESSENT, CARL TIMOTHY (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:TIMOTHY
Last Name:BESSENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7402 YORK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7532
Mailing Address - Country:US
Mailing Address - Phone:410-821-7471
Mailing Address - Fax:410-821-9582
Practice Address - Street 1:7601 OSLER DR
Practice Address - Street 2:SAINT JOSEPH MEDICAL CENTER
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7700
Practice Address - Country:US
Practice Address - Phone:410-337-1226
Practice Address - Fax:410-337-1118
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2023-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD15452207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB68392Medicare UPIN
MDH822F995Medicare ID - Type Unspecified