| Avenue Of The Mind | |
|
822 Guilford Ave Baltimore MD 21202-3707 | |
| (302) 666-3601 | |
| Not Available |
| Full Name | Avenue Of The Mind |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 822 Guilford Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Sabina Bonfadini (OWNER) |
| Authorized Official Contact | 3026663601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Of The Mind 822 Guilford Ave Baltimore MD 21202-3707 Ph: (302) 666-3601 | Avenue Of The Mind 822 Guilford Ave Baltimore MD 21202-3707 Ph: (302) 666-3601 |
| NPI Number | 1871275735 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 3173971165 |
|---|---|
| Medicare Enrollment ID | O20231201000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871275735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sabina Bonfadini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148231 PECOS PAC ID: 9537476825 Enrollment ID: I20150918001735 |
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