| |
223 Eastern Blvd Baltimore MD 21221-6906 | |
(410) 284-2400 | |
(410) 686-9516 |
Full Name | |
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Speciality | Internal Medicine |
Location | 223 Eastern Blvd, Baltimore, Maryland |
Authorized Official Name and Position | Tarique A. Firozvi (M.D.) |
Authorized Official Contact | 4102842400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1376 Cockeysville MD 21030-6376 Ph: (410) 284-2400 | 223 Eastern Blvd Baltimore MD 21221-6906 Ph: (410) 284-2400 |
NPI Number | 1730372301 |
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Provider Enumeration Date | 08/27/2007 |
Last Update Date | 08/27/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730372301 | NPI | - | NPPES |
3225TA | Other | MD | CAREFIRST MARYLAND |
E172 0001 | Other | DC | CAREFRIST DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0014221 (Maryland) | Primary |
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