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 |
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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 |
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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 |
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Provider Enumeration Date | 08/11/2010 |
Last Update Date | 10/01/2010 |
Identifier | Type | State | Issuer |
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1427363795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | D0032496 (Maryland) | Primary |
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