Provider Demographics
NPI:1730241530
Name:JULIAN, EMERSON R (MD)
Entity type:Individual
Prefix:
First Name:EMERSON
Middle Name:R
Last Name:JULIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8 RUNNING BROOK CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1637
Mailing Address - Country:US
Mailing Address - Phone:410-332-1092
Mailing Address - Fax:410-962-8685
Practice Address - Street 1:315 N CALVERT ST FL 2
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3611
Practice Address - Country:US
Practice Address - Phone:410-332-1095
Practice Address - Fax:410-962-8685
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0020998207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD983LMedicare PIN
MDD76510Medicare UPIN