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111 W High St Ste 207 Elkton MD 21921-8611 | |
(410) 398-2436 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 111 W High St Ste 207, Elkton, Maryland |
Authorized Official Name and Position | Judy Riesen (CORPORATE DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 3026237168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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207 North St Elkton MD 21921-5512 Ph: (410) 398-3868 | 111 W High St Ste 207 Elkton MD 21921-8611 Ph: (410) 398-2436 |
NPI Number | 1144071945 |
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Provider Enumeration Date | 03/29/2024 |
Last Update Date | 06/27/2024 |
Certification Date | 06/27/2024 |
Identifier | Type | State | Issuer |
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1144071945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084E0001X | Psychiatry & Neurology - Epilepsy | (* (Not Available)) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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