| Vitae Health Clinical Services Maryland Llc | |
|
3330 Wilkens Ave Baltimore MD 21229-4610 | |
| (410) 525-1544 | |
| Not Available |
| Full Name | Vitae Health Clinical Services Maryland Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3330 Wilkens Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Amish Patel (PRESIDENT) |
| Authorized Official Contact | 2247778045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Clinical Services Maryland Llc 415 W Golf Rod Ste 26 Arlington Heights IL 60005 Ph: (224) 777-8045 | Vitae Health Clinical Services Maryland Llc 3330 Wilkens Ave Baltimore MD 21229-4610 Ph: (410) 525-1544 |
| NPI Number | 1750068748 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 1153785720 |
|---|---|
| Medicare Enrollment ID | O20230914003426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750068748 | NPI | - | NPPES |
| Provider Name | Betina Clarsky Parent-cazeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205512837 PECOS PAC ID: 6305200973 Enrollment ID: I20230914003562 |
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