Provider Demographics
NPI:1780639393
Name:ALDRICH, ENSLIN FRANCOIS (MD)
Entity type:Individual
Prefix:DR
First Name:ENSLIN
Middle Name:FRANCOIS
Last Name:ALDRICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:E
Other - Middle Name:FRANCOIS
Other - Last Name:ALDRICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 64315
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4315
Mailing Address - Country:US
Mailing Address - Phone:410-328-8209
Mailing Address - Fax:410-328-1413
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:S12D
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-8209
Practice Address - Fax:410-328-1413
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD43980207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE18059Medicare UPIN
460L293CMedicare PIN