| Brian E Mondell, Md Llc | |
|
14 S Broadway Baltimore MD 21231-1712 | |
| (410) 276-1773 | |
| (410) 276-2056 |
| Full Name | Brian E Mondell, Md Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14 S Broadway, Baltimore, Maryland |
| Authorized Official Name and Position | Brian E Mondell (DIRECTOR) |
| Authorized Official Contact | 4103214558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian E Mondell, Md Llc 2331 Old Court Rd Suite 405 Baltimore MD 21208-3422 Ph: (410) 321-4558 | Brian E Mondell, Md Llc 14 S Broadway Baltimore MD 21231-1712 Ph: (410) 276-1773 |
| NPI Number | 1427363795 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 10/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427363795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | D0032496 (Maryland) | Primary |
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