Provider Demographics
NPI:1194771642
Name:ORLINSKY, DIANE JULIE (MD)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:JULIE
Last Name:ORLINSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8320 BELLONA AVE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2022
Mailing Address - Country:US
Mailing Address - Phone:410-821-7546
Mailing Address - Fax:410-821-7576
Practice Address - Street 1:8320 BELLONA AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2022
Practice Address - Country:US
Practice Address - Phone:410-821-7546
Practice Address - Fax:410-821-7576
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD53134207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKEY7OtherBLUE SHIELD OF MD
MDH766JOMedicare ID - Type UnspecifiedGROUP
MDG68397Medicare UPIN
MDKEY7OtherBLUE SHIELD OF MD
MD631MMedicare ID - Type Unspecified