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1427 Clarkview Rd Ste 200, Baltimore, MD 21209-2100 | |
(410) 561-8050 | |
(410) 561-8055 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1427 Clarkview Rd Ste 200, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891856357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Richard A Adler |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629076179 PECOS PAC ID: 4688651763 Enrollment ID: I20040707000155 |
Provider Name | Benjamin Azman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699156083 PECOS PAC ID: 8426360520 Enrollment ID: I20150702000264 |
Mailing Address | Practice Location Address |
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1427 Clarkview Rd Ste 200, Baltimore, MD 21209-2100 Ph: (410) 561-8050 | 1427 Clarkview Rd Ste 200, Baltimore, MD 21209-2100 Ph: (410) 561-8050 |