| |
501 E Chase St Baltimore MD 21202-4206 | |
(410) 528-8747 | |
(410) 528-8748 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 501 E Chase St, Baltimore, Maryland |
Authorized Official Name and Position | Marcella A Copes (DEAN) |
Authorized Official Contact | 4109516100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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501 E Chase St Baltimore MD 21202-4206 Ph: (410) 528-8747 | 501 E Chase St Baltimore MD 21202-4206 Ph: (410) 528-8747 |
NPI Number | 1114239555 |
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Provider Enumeration Date | 07/13/2010 |
Last Update Date | 07/13/2010 |
Identifier | Type | State | Issuer |
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1114239555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | 21D1004200 (Maryland) | Primary |
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