| |
4700 Harford Rd Baltimore MD 21214-3204 | |
(667) 300-8222 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 4700 Harford Rd, Baltimore, Maryland |
Authorized Official Name and Position | Krystle D Brown (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 4108006251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4700 Harford Rd Baltimore MD 21214-3204 Ph: (410) 870-9380 | 4700 Harford Rd Baltimore MD 21214-3204 Ph: (667) 300-8222 |
NPI Number | 1386466357 |
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Provider Enumeration Date | 10/30/2024 |
Last Update Date | 11/21/2024 |
Identifier | Type | State | Issuer |
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1386466357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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