| Maciej Chodynicki Md Llc | |
|
1122 Kenilworth Dr Ste 403 Towson MD 21204-2147 | |
| (443) 762-1683 | |
| Not Available |
| Full Name | Maciej Chodynicki Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 1122 Kenilworth Dr Ste 403, Towson, Maryland |
| Authorized Official Name and Position | Maciej Chodynicki (OWNER) |
| Authorized Official Contact | 4437621683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maciej Chodynicki Md Llc 1122 Kenilworth Dr Ste 403 Towson MD 21204-2147 Ph: () - | Maciej Chodynicki Md Llc 1122 Kenilworth Dr Ste 403 Towson MD 21204-2147 Ph: (443) 762-1683 |
| NPI Number | 1699043133 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699043133 | NPI | - | NPPES |
| 408237100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | D0063080 (Maryland) | Primary |
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