| |
1576 Merritt Blvd Suite 14 Baltimore MD 21222-2132 | |
(410) 650-2000 | |
(410) 650-2092 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1576 Merritt Blvd, Baltimore, Maryland |
Authorized Official Name and Position | Jamie L. Steele-white (CREDENTIALING ASSOCIATE) |
Authorized Official Contact | 4109333073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1576 Merritt Blvd Suite 14 Baltimore MD 21222-2132 Ph: (410) 650-2000 | 1576 Merritt Blvd Suite 14 Baltimore MD 21222-2132 Ph: (410) 650-2000 |
NPI Number | 1225265150 |
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Provider Enumeration Date | 06/18/2009 |
Last Update Date | 06/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225265150 | NPI | - | NPPES |
CC3132 | Other | MD | RAILROAD MEDICARE |
A732 | Other | MD | CAREFIRST OF DC |
KT80 | Other | MD | CAREFIRST OF MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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