| Jhu - Jhome At Bayview | |
|
5210 Eastern Avenue Alpha Center Baltimore MD 21224 | |
| (410) 550-0931 | |
| (410) 550-2513 |
| Full Name | Jhu - Jhome At Bayview |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5210 Eastern Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhu - Jhome At Bayview Po Box 64264 Baltimore MD 21264-4264 Ph: (410) 550-0931 | Jhu - Jhome At Bayview 5210 Eastern Avenue Alpha Center Baltimore MD 21224 Ph: (410) 550-0931 |
| NPI Number | 1437613163 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 03/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437613163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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