| |
2700 N Charles St Baltimore MD 21218-4300 | |
(410) 554-6300 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Pulmonary Disease |
Location | 2700 N Charles St, Baltimore, Maryland |
Authorized Official Name and Position | Krystle D Brown (MANAGER) |
Authorized Official Contact | 4108709380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4806 U St Nw Washington DC 20007-1546 Ph: (410) 870-9380 | 2700 N Charles St Baltimore MD 21218-4300 Ph: (410) 554-6300 |
NPI Number | 1407670821 |
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Provider Enumeration Date | 11/12/2024 |
Last Update Date | 11/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407670821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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