| Uba Physicians Group, P.a. | |
|
2310 N Charles St Baltimore MD 21218-5127 | |
| (410) 779-3102 | |
| (410) 230-2687 |
| Full Name | Uba Physicians Group, P.a. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2310 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Carolyn Haynie (CEO) |
| Authorized Official Contact | 4107793102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uba Physicians Group, P.a. 2310 N Charles St Baltimore MD 21218-5127 Ph: (410) 779-3102 | Uba Physicians Group, P.a. 2310 N Charles St Baltimore MD 21218-5127 Ph: (410) 779-3102 |
| NPI Number | 1093947822 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 08/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093947822 | NPI | - | NPPES |
| 414775800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | N52610 (Maryland) | Primary |
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