| |
5115 Liberty Heights Ave Baltimore MD 21207-7056 | |
(410) 466-8686 | |
(410) 466-5949 |
Full Name | |
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Speciality | General Practice |
Location | 5115 Liberty Heights Ave, Baltimore, Maryland |
Authorized Official Name and Position | Asma Inge (PRESIDENT) |
Authorized Official Contact | 4104668686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5115 Liberty Heights Ave Baltimore MD 21207-7056 Ph: (410) 466-8686 | 5115 Liberty Heights Ave Baltimore MD 21207-7056 Ph: (410) 466-8686 |
NPI Number | 1497093827 |
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Provider Enumeration Date | 01/18/2013 |
Last Update Date | 01/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497093827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (Maryland) | Primary |
363LF0000X | Nurse Practitioner - Family | (Maryland) | Secondary |
367A00000X | Advanced Practice Midwife | (Maryland) | Secondary |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 |