| |
115 E Melrose Ave Baltimore MD 21212-2945 | |
(410) 435-9073 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 115 E Melrose Ave, Baltimore, Maryland |
Authorized Official Name and Position | Krystle D Brown (BILLING MANAGER) |
Authorized Official Contact | 4108709380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10259 Cabery Rd Ellicott City MD 21042-1605 Ph: (410) 870-9380 | 115 E Melrose Ave Baltimore MD 21212-2945 Ph: (410) 435-9073 |
NPI Number | 1346061124 |
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Provider Enumeration Date | 10/23/2024 |
Last Update Date | 11/21/2024 |
Identifier | Type | State | Issuer |
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1346061124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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