Individual ProviderJohn EngRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-6500PECOS EnrollmentBased on the most recent information from CMS, provider John Eng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1407888092Provider TypeIndividualFull NameEng, JohnCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/6/2006Last Updated2/6/2013Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-6500FaxUnlisted FaxMailing LocationMailing AddressPO Box 64358, Baltimore, MD 21264-4358Phone(410) 955-6500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD48094MarylandProvider IdentifiersIDDescriptionIssuerID125051500DescriptionMedicaidIssuerUnlistedMaryland