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2411 W Belvedere Ave Suite 504 Baltimore MD 21215-5228 | |
(410) 601-0070 | |
(410) 601-0290 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2411 W Belvedere Ave, Baltimore, Maryland |
Authorized Official Name and Position | Mary Wright-sisk (DIRECTOR) |
Authorized Official Contact | 4434229941 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2411 W Belvedere Ave Suite 504 Baltimore MD 21215-5228 Ph: (410) 601-0070 | 2411 W Belvedere Ave Suite 504 Baltimore MD 21215-5228 Ph: (410) 601-0070 |
NPI Number | 1902287121 |
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Provider Enumeration Date | 06/12/2015 |
Last Update Date | 08/27/2021 |
Identifier | Type | State | Issuer |
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1902287121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (Maryland) | Primary |
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