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933 North Wolfe Street Baltimore MD 21205 | |
(410) 955-3250 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 933 North Wolfe Street, Baltimore, Maryland |
Authorized Official Name and Position | Roanna Kessler (CHIEF MEDICAL DIRECTOR) |
Authorized Official Contact | 4109553250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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933 North Wolfe Street Baltimore MD 21205 Ph: (410) 955-3250 | 933 North Wolfe Street Baltimore MD 21205 Ph: (410) 955-3250 |
NPI Number | 1306046552 |
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Provider Enumeration Date | 07/24/2007 |
Last Update Date | 10/18/2023 |
Identifier | Type | State | Issuer |
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1306046552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (Maryland) | Primary |
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