| Phoegenesis, Inc | |
|
1901 S Charles St Baltimore MD 21230-4867 | |
| (909) 576-2224 | |
| Not Available |
| Full Name | Phoegenesis, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1901 S Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Charles Ellis (PRESIDENT) |
| Authorized Official Contact | 9095762224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoegenesis, Inc 1901 S Charles St Baltimore MD 21230-4867 Ph: (909) 576-2224 | Phoegenesis, Inc 1901 S Charles St Baltimore MD 21230-4867 Ph: (909) 576-2224 |
| NPI Number | 1871164517 |
|---|---|
| Provider Enumeration Date | 07/04/2021 |
| Last Update Date | 07/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871164517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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