| Martin Z. Kanner, M.d., P.a. | |
|
1700 Reisterstown Rd Suite 224 Baltimore MD 21208-1416 | |
| (410) 486-0927 | |
| (410) 358-4020 |
| Full Name | Martin Z. Kanner, M.d., P.a. |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 1700 Reisterstown Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Martin Zelig Kanner (OFFICER) |
| Authorized Official Contact | 4104860927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Z. Kanner, M.d., P.a. 1700 Reisterstown Rd Suite 224 Baltimore MD 21208-1416 Ph: (410) 486-0927 | Martin Z. Kanner, M.d., P.a. 1700 Reisterstown Rd Suite 224 Baltimore MD 21208-1416 Ph: (410) 486-0927 |
| NPI Number | 1548229859 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548229859 | NPI | - | NPPES |
| D0020618 | Other | MD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | D0020618 (Maryland) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | D0020618 (Maryland) | Primary |
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