Bci | |
1121 Saint Agnes Ln Gwynn Oak MD 21207-5179 | |
(410) 241-7766 | |
(410) 484-3909 |
Full Name | Bci |
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Speciality | Clinic/Center |
Location | 1121 Saint Agnes Ln, Gwynn Oak, Maryland |
Authorized Official Name and Position | Adam Rabinowitz (CO-OWNER) |
Authorized Official Contact | 4102417766 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bci 3700 Odonnell St Ste 200 Baltimore MD 21224-5269 Ph: (410) 241-7766 | Bci 1121 Saint Agnes Ln Gwynn Oak MD 21207-5179 Ph: (410) 241-7766 |
NPI Number | 1073103438 |
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Provider Enumeration Date | 01/20/2021 |
Last Update Date | 07/26/2021 |
Medicare PECOS PAC ID | 9234534983 |
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Medicare Enrollment ID | O20210819000151 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073103438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Adam H Rabinowitz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942384706 PECOS PAC ID: 8022278449 Enrollment ID: I20120620000751 |
Provider Name | Stephanie Sayers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346835113 PECOS PAC ID: 2264832641 Enrollment ID: I20210608000774 |
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