| Via Clinic, Llc | |
|
1501 Sulgrave Ave Ste 312 Baltimore MD 21209-3654 | |
| (410) 858-4020 | |
| (844) 308-8872 |
| Full Name | Via Clinic, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1501 Sulgrave Ave Ste 312, Baltimore, Maryland |
| Authorized Official Name and Position | Joseph Andrews (OWNER) |
| Authorized Official Contact | 4102464818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Clinic, Llc 1501 Sulgrave Ave Ste 312 Baltimore MD 21209-3654 Ph: (410) 858-4020 | Via Clinic, Llc 1501 Sulgrave Ave Ste 312 Baltimore MD 21209-3654 Ph: (410) 858-4020 |
| NPI Number | 1952827073 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952827073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0076303 (Maryland) | Primary |
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