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8975 Guilford Rd Ste 170, Columbia, MD 21046-2389 | |
(410) 705-5541 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 8975 Guilford Rd Ste 170, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1982228045 | NPI | - | NPPES |
Provider Name | Dushyant Viswanathan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285897421 PECOS PAC ID: 8628255692 Enrollment ID: I20110601000244 |
Provider Name | Michelle Yentsch |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154083269 PECOS PAC ID: 3678964913 Enrollment ID: I20211222000387 |
Mailing Address | Practice Location Address |
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14 Stone Spring Ct, Catonsville, MD 21228-5367 Ph: (410) 227-4939 | 8975 Guilford Rd Ste 170, Columbia, MD 21046-2389 Ph: (410) 705-5541 |