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2401 W Belvedere Ave Baltimore MD 21215-5216 | |
(410) 601-9000 | |
Not Available |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 2401 W Belvedere Ave, Baltimore, Maryland |
Authorized Official Name and Position | Charles B Efird (DIRECTOR) |
Authorized Official Contact | 4106017019 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2401 W Belvedere Ave Attn: Credentialing Baltimore MD 21215-5216 Ph: (410) 601-5524 | 2401 W Belvedere Ave Baltimore MD 21215-5216 Ph: (410) 601-9000 |
NPI Number | 1275558884 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 01/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275558884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 30-062 (Maryland) | Secondary |
282N00000X | General Acute Care Hospital | 30-062 (Maryland) | Primary |
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