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2401 W Belvedere Ave 304 Baltimore MD 21215-5216 | |
(410) 325-1278 | |
(443) 836-0405 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2401 W Belvedere Ave, Baltimore, Maryland |
Authorized Official Name and Position | Terri Fields Mitchell (BILLING MANAGER) |
Authorized Official Contact | 4103251278 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2401 W Belvedere Ave 304 Baltimore MD 21215-5216 Ph: (410) 325-1278 | 2401 W Belvedere Ave 304 Baltimore MD 21215-5216 Ph: (410) 325-1278 |
NPI Number | 1215232541 |
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Provider Enumeration Date | 01/18/2011 |
Last Update Date | 01/18/2011 |
Identifier | Type | State | Issuer |
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1215232541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | D0046267 (Maryland) | Primary |
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