| Autumn Lake Healthcare At Bradford Oak Neph | |
|
7520 Surratts Rd Clinton MD 20735-3353 | |
| (410) 870-9380 | |
| Not Available |
| Full Name | Autumn Lake Healthcare At Bradford Oak Neph |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 7520 Surratts Rd, Clinton, Maryland |
| Authorized Official Name and Position | Krystle Brown (BILLING MANAGER) |
| Authorized Official Contact | 4108709380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Lake Healthcare At Bradford Oak Neph 1205 York Rd Ste 11 Lutherville MD 21093-6211 Ph: () - | Autumn Lake Healthcare At Bradford Oak Neph 7520 Surratts Rd Clinton MD 20735-3353 Ph: (410) 870-9380 |
| NPI Number | 1548024656 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548024656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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