| Obstetrical And Gynecological Assoc Of The University Of Maryland Pa | |
|
120 Penn St Baltimore MD 21201-1082 | |
| (667) 214-1301 | |
| Not Available |
| Full Name | Obstetrical And Gynecological Assoc Of The University Of Maryland Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 Penn St, Baltimore, Maryland |
| Authorized Official Name and Position | Rick Brinegar (DIRECTOR OF PROFESSIONAL FEES) |
| Authorized Official Contact | 6672141301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obstetrical And Gynecological Assoc Of The University Of Maryland Pa 250 W Pratt St Ste 880 Attn: Rick Brinegar Baltimore MD 21201-6829 Ph: (667) 214-1301 | Obstetrical And Gynecological Assoc Of The University Of Maryland Pa 120 Penn St Baltimore MD 21201-1082 Ph: (667) 214-1301 |
| NPI Number | 1932861762 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Certification Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932861762 | NPI | - | NPPES |
| 969081600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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