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515 Fairmount Ave Baltimore MD 21286-5466 | |
(410) 581-3985 | |
(410) 494-1361 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 515 Fairmount Ave, Baltimore, Maryland |
Authorized Official Name and Position | Suzanne Beasley-thomas (DIRECTOR OF REIMBUSEMENT) |
Authorized Official Contact | 4104941212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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515 Fairmount Ave Baltimore MD 21286-5466 Ph: (410) 581-3985 | 515 Fairmount Ave Baltimore MD 21286-5466 Ph: (410) 581-3985 |
NPI Number | 1194834036 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194834036 | NPI | - | NPPES |
988271500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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