Provider Demographics
NPI:1982789301
Name:WARRES, NEIL ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ERIC
Last Name:WARRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 OLD COURT RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3311
Mailing Address - Country:US
Mailing Address - Phone:410-484-0989
Mailing Address - Fax:410-484-0989
Practice Address - Street 1:104 CHURCH LN
Practice Address - Street 2:SUITE 202
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3786
Practice Address - Country:US
Practice Address - Phone:410-484-0989
Practice Address - Fax:410-484-0989
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00242842084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7094OtherPIN
MD7094Medicare ID - Type Unspecified
MDB70504Medicare UPIN