| Blue Aba Maryland Llc | |
|
1829 Reisterstown Rd Ste 350 Pikesville MD 21208-7126 | |
| (410) 402-1573 | |
| (512) 813-5917 |
| Full Name | Blue Aba Maryland Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1829 Reisterstown Rd Ste 350, Pikesville, Maryland |
| Authorized Official Name and Position | Gershon Fink (CEO/OWNER) |
| Authorized Official Contact | 4104021573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Aba Maryland Llc 3921 Alton Rd Unit 107 Miami Beach FL 33140-3852 Ph: (786) 521-1587 | Blue Aba Maryland Llc 1829 Reisterstown Rd Ste 350 Pikesville MD 21208-7126 Ph: (410) 402-1573 |
| NPI Number | 1093532020 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093532020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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