Provider Demographics
NPI:1306896006
Name:WRIGHT, ERNESTINE A (MD)
Entity type:Individual
Prefix:DR
First Name:ERNESTINE
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12416 DIPLOMA DR
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-6038
Mailing Address - Country:US
Mailing Address - Phone:410-526-9734
Mailing Address - Fax:410-560-2851
Practice Address - Street 1:2300 DULANEY VALLEY RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2739
Practice Address - Country:US
Practice Address - Phone:410-252-4500
Practice Address - Fax:410-560-2851
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2009-12-15
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Provider Licenses
StateLicense IDTaxonomies
MDD52740207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG68345Medicare UPIN