| |
3333 N Calvert St Fl 2 Baltimore MD 21218-2867 | |
(410) 235-5405 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 3333 N Calvert St Fl 2, Baltimore, Maryland |
Authorized Official Name and Position | Stephanie Schneider (VP) |
Authorized Official Contact | 7025581403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3007 Tilden St Nw Ste 5n Washington DC 20008-3030 Ph: () - | 3333 N Calvert St Fl 2 Baltimore MD 21218-2867 Ph: (410) 235-5405 |
NPI Number | 1023602828 |
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Provider Enumeration Date | 02/23/2021 |
Last Update Date | 06/20/2023 |
Identifier | Type | State | Issuer |
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1023602828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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