| |
1576 Merritt Blvd Ste 7, Baltimore, MD 21222-2114 | |
(410) 650-2145 | |
(410) 282-5955 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 1576 Merritt Blvd Ste 7, Baltimore, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497132021 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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102 Irving St Nw, Attn: Mhpt Payor Enrollment, Washington, DC 20010-2949 Ph: (301) 540-6140 | 1576 Merritt Blvd Ste 7, Baltimore, MD 21222-2114 Ph: (410) 650-2145 |