Caost Guard Yard | |
2401 Hawkins Point Rd Curtis Bay MD 21226-1797 | |
(410) 636-3183 | |
(410) 636-7868 |
Full Name | Caost Guard Yard |
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Speciality | Clinic/center |
Location | 2401 Hawkins Point Rd, Curtis Bay, Maryland |
Authorized Official Name and Position | Aaron E Fulcher (MEDICAL ADMINISTARTOR) |
Authorized Official Contact | 4106363183 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Caost Guard Yard 2401 Hawkins Point Rd Curtis Bay MD 21226-1797 Ph: (410) 636-3183 | Caost Guard Yard 2401 Hawkins Point Rd Curtis Bay MD 21226-1797 Ph: (410) 636-3183 |
NPI Number | 1477635019 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1477635019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |