Provider Demographics
NPI:1770298119
Name:DREXEL, DOLORES MARIA (IV THERAPIST)
Entity type:Individual
Prefix:
First Name:DOLORES
Middle Name:MARIA
Last Name:DREXEL
Suffix:
Gender:F
Credentials:IV THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-7927
Mailing Address - Country:US
Mailing Address - Phone:443-924-5572
Mailing Address - Fax:
Practice Address - Street 1:8975 GUILFORD RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2387
Practice Address - Country:US
Practice Address - Phone:443-924-5572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy