| Bruce L Regan, Md Chartered | |
|
405 Frederick Rd Suite 263 Baltimore MD 21228-4645 | |
| (410) 747-6106 | |
| (410) 747-5601 |
| Full Name | Bruce L Regan, Md Chartered |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 405 Frederick Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Bruce Linthicum Regan (PRERSIDENT) |
| Authorized Official Contact | 4107476106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce L Regan, Md Chartered 405 Frederick Rd Suite 263 Baltimore MD 21228-4645 Ph: (410) 747-6106 | Bruce L Regan, Md Chartered 405 Frederick Rd Suite 263 Baltimore MD 21228-4645 Ph: (410) 747-6106 |
| NPI Number | 1578743399 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578743399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | D0018610 (Maryland) | Primary |
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