| Medical Towers, Llc | |
|
5310 Old Court Rd Suite 305 Randallstown MD 21133-5243 | |
| (410) 655-7100 | |
| (410) 655-7919 |
| Full Name | Medical Towers, Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 5310 Old Court Rd, Randallstown, Maryland |
| Authorized Official Name and Position | Olusegan Lawoyin (OWNER) |
| Authorized Official Contact | 4106557100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Towers, Llc 5310 Old Court Rd Suite 305 Randallstown MD 21133-5243 Ph: (410) 655-7100 | Medical Towers, Llc 5310 Old Court Rd Suite 305 Randallstown MD 21133-5243 Ph: (410) 655-7100 |
| NPI Number | 1972595502 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972595502 | NPI | - | NPPES |
| KAU5 | Other | MD | CAREFIRST BLUE SHIELD |
| W357 | Other | MD | FEP/ BLUE CHOICE/ CAPITOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Maryland) | Primary |
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