| Autumn Lake Loch Raven Neph | |
|
8720 Emge Rd Parkville MD 21234-3504 | |
| (410) 870-9380 | |
| Not Available |
| Full Name | Autumn Lake Loch Raven Neph |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 8720 Emge Rd, Parkville, 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 Loch Raven Neph 1205 York Rd Lutherville MD 21093-6210 Ph: () - | Autumn Lake Loch Raven Neph 8720 Emge Rd Parkville MD 21234-3504 Ph: (410) 870-9380 |
| NPI Number | 1174387286 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174387286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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