| |
8800 Walther Blvd Baltimore MD 21234-9001 | |
(410) 882-3240 | |
(410) 661-5093 |
Full Name | |
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Speciality | Internal Medicine |
Location | 8800 Walther Blvd, Baltimore, Maryland |
Authorized Official Name and Position | Matthew J Narrett (SR. VP AND CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 4104022257 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5730 Executive Dr Ste 230 Catonsville MD 21228-1762 Ph: (410) 882-3240 | 8800 Walther Blvd Baltimore MD 21234-9001 Ph: (410) 882-3240 |
NPI Number | 1093735474 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 08/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093735474 | NPI | - | NPPES |
T016 | Other | BCBS DC | |
KG01SE | Other | BCBS OF MD | |
008203100 | Medicaid | MD |
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