Baltimore Health Care P.c | |
3350 Wilkens Ave 307 Baltimore MD 21229-4600 | |
(410) 368-8318 | |
(410) 368-8319 |
Full Name | Baltimore Health Care P.c |
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Speciality | Internal Medicine |
Location | 3350 Wilkens Ave, Baltimore, Maryland |
Authorized Official Name and Position | Ebenezer Kobina Quainoo (MEDICAL DIRECTOR) |
Authorized Official Contact | 4103688317 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baltimore Health Care P.c 3350 Wilkens Ave 307 Baltimore MD 21229-4600 Ph: (410) 368-8318 | Baltimore Health Care P.c 3350 Wilkens Ave 307 Baltimore MD 21229-4600 Ph: (410) 368-8318 |
NPI Number | 1427073378 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5799780078 |
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Medicare Enrollment ID | O20070124000598 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427073378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0061765 (Maryland) | Primary |
Provider Name | Ebenezer K Quainoo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326033952 PECOS PAC ID: 4587644836 Enrollment ID: I20040726000722 |
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