| |
301 Saint Paul Pl Baltimore MD 21202-2102 | |
(410) 951-1726 | |
(410) 951-1752 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 301 Saint Paul Pl, Baltimore, Maryland |
Authorized Official Name and Position | Sherrell L Williams (AR SPECIALIST) |
Authorized Official Contact | 4109511726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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301 Saint Paul Pl Baltimore MD 21202-2102 Ph: (410) 951-1726 | 301 Saint Paul Pl Baltimore MD 21202-2102 Ph: (410) 951-1726 |
NPI Number | 1497906333 |
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Provider Enumeration Date | 10/09/2008 |
Last Update Date | 10/09/2008 |
Identifier | Type | State | Issuer |
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1497906333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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