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1200 E Fayette St Baltimore MD 21202-4721 | |
(410) 396-4501 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 1200 E Fayette St, Baltimore, Maryland |
Authorized Official Name and Position | Tyrone Alonzo Chapman (BILLING & REVENUE MGR.) |
Authorized Official Contact | 4103968000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1001 E Fayette St Baltimore MD 21202-4715 Ph: (410) 396-8000 | 1200 E Fayette St Baltimore MD 21202-4721 Ph: (410) 396-4501 |
NPI Number | 1467231928 |
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Provider Enumeration Date | 09/25/2023 |
Last Update Date | 10/03/2023 |
Identifier | Type | State | Issuer |
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1467231928 | NPI | - | NPPES |
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