| Passport Health | |
|
921 E Fort Ave Ste 100 Baltimore MD 21230-5135 | |
| (410) 727-0556 | |
| (410) 727-0696 |
| Full Name | Passport Health |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 921 E Fort Ave Ste 100, Baltimore, Maryland |
| Authorized Official Name and Position | Frances L. Lessans (CEO) |
| Authorized Official Contact | 4107270556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Passport Health 921 E Fort Ave Ste 100 Baltimore MD 21230-5135 Ph: (410) 727-0556 | Passport Health 921 E Fort Ave Ste 100 Baltimore MD 21230-5135 Ph: (410) 727-0556 |
| NPI Number | 1184957235 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184957235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | D0053043 (Maryland) | Primary |
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