| New Maryland Kidney Stone Management,llc | |
|
6115 Falls Road Baltimore MD 21209 | |
| (888) 799-2622 | |
| (410) 377-4410 |
| Full Name | New Maryland Kidney Stone Management,llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6115 Falls Road, Baltimore, Maryland |
| Authorized Official Name and Position | Ric Hughes (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6142988150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Maryland Kidney Stone Management,llc 100 W Third Ave Ste 150 Columbus OH 43201 Ph: (614) 297-1158 | New Maryland Kidney Stone Management,llc 6115 Falls Road Baltimore MD 21209 Ph: (888) 799-2622 |
| NPI Number | 1922137835 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922137835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A1158 (* (Not Available)) | Primary |
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