Provider Demographics
NPI:1841268562
Name:ORZECH-NIXON, BONNIE LINDA (MD)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:LINDA
Last Name:ORZECH-NIXON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:750 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-2515
Mailing Address - Country:US
Mailing Address - Phone:410-526-7993
Mailing Address - Fax:410-526-5144
Practice Address - Street 1:10084 REISTERSTOWN RD STE 200B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4096
Practice Address - Country:US
Practice Address - Phone:410-526-7993
Practice Address - Fax:410-526-5144
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0039604208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE45594Medicare UPIN