| |
6701 N Charles St Baltimore MD 21204-6808 | |
(443) 849-2000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 6701 N Charles St, Baltimore, Maryland |
Authorized Official Name and Position | Eric Melchior (EXECUTIVE VICE PRES & CFO) |
Authorized Official Contact | 4438492519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 631568 Baltimore MD 21263-1568 Ph: (443) 204-8188 | 6701 N Charles St Baltimore MD 21204-6808 Ph: (443) 849-2000 |
NPI Number | 1275584583 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 03/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275584583 | NPI | - | NPPES |
KJ67GB | Other | MD | CAREFIRST MARYLAND |
S128 | Other | MD | CAREFIRST REGIONAL |
J706 | Other | MD | CAREFIRST REGIONAL |
KJ24GB | Other | MD | CAREFIRST MARYLAND |
735AVA | Other | MD | CAREFIRST MARYLAND |
S142 | Other | MD | CAREFIRST REGIONAL |
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