| Concentra Advanced Specialist | |
|
811 Cromwell Park Dr Ste. 104 -105 Glen Burnie MD 21061-2566 | |
| (410) 553-0110 | |
| Not Available |
| Full Name | Concentra Advanced Specialist |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 811 Cromwell Park Dr, Glen Burnie, Maryland |
| Authorized Official Name and Position | Robert Hassett (PRESIDENT) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concentra Advanced Specialist 5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 Ph: () - | Concentra Advanced Specialist 811 Cromwell Park Dr Ste. 104 -105 Glen Burnie MD 21061-2566 Ph: (410) 553-0110 |
| NPI Number | 1194155127 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194155127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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