| University Of Maryland Medical Group - Infectious Disease | |
|
22 S Greene St Baltimore MD 21201-1544 | |
| (410) 328-8040 | |
| (410) 328-0248 |
| Full Name | University Of Maryland Medical Group - Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 22 S Greene St, Baltimore, Maryland |
| Authorized Official Name and Position | Lee Ann Buhrman (DIRECTOR OF PROFESSIONAL FEES) |
| Authorized Official Contact | 4103288040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Medical Group - Infectious Disease Po Box 64442 Baltimore MD 21264-4442 Ph: (410) 328-8040 | University Of Maryland Medical Group - Infectious Disease 22 S Greene St Baltimore MD 21201-1544 Ph: (410) 328-8040 |
| NPI Number | 1134179955 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134179955 | NPI | - | NPPES |
| 795021700 | Medicaid | MD | |
| 4005765 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 041553700 | Medicaid | MD | |
| 034460903 | Medicaid | DC | |
| 1134179955 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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