| |
22 S Greene St Baltimore MD 21201-1590 | |
(667) 214-1515 | |
(410) 328-8326 |
Full Name | |
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Speciality | Internal Medicine |
Location | 22 S Greene St, Baltimore, Maryland |
Authorized Official Name and Position | Kimberly Lingenfelter (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4103288040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 64442 Baltimore MD 21264-4442 Ph: (410) 328-8040 | 22 S Greene St Baltimore MD 21201-1590 Ph: (667) 214-1515 |
NPI Number | 1104877075 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 04/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104877075 | NPI | - | NPPES |
1104877075 | Medicaid | DE | |
034460902 | Medicaid | DC | |
764571600 | Medicaid | MD |
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