| |
2900 S Hanover St Baltimore MD 21225-1232 | |
(410) 350-8336 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 2900 S Hanover St, Baltimore, Maryland |
Authorized Official Name and Position | Stephanie Schneider (VICE PRESIDENT) |
Authorized Official Contact | 7025581403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3007 Tilden St Nw Ste 5n Washington DC 20008-3030 Ph: () - | 2900 S Hanover St Baltimore MD 21225-1232 Ph: (410) 350-8336 |
NPI Number | 1932871555 |
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Provider Enumeration Date | 10/01/2021 |
Last Update Date | 06/20/2023 |
Medicare PECOS PAC ID | 0547413825 |
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Medicare Enrollment ID | O20220301001373 |
Identifier | Type | State | Issuer |
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1932871555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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