Provider Demographics
NPI:1386756948
Name:EIG, BLAIR MITCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:BLAIR
Middle Name:MITCHELL
Last Name:EIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12017 COLDSTREAM DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3620
Mailing Address - Country:US
Mailing Address - Phone:301-299-2376
Mailing Address - Fax:301-754-7012
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1483
Practice Address - Country:US
Practice Address - Phone:301-754-7060
Practice Address - Fax:301-754-7012
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0035053208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics