G Robert Medalie MD

NPI 1083621676 - Internal Medicine - 207RC0000X

NPI Details
NPI 1083621676
Gender Male
Enumeration Date 08/03/2006
Last Updated 04/28/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
6535 N CHARLES STREET
SUITE 325
BALTIMORE MD, 21204-5824, US
Phone (410) 321-9701
Fax (410) 321-0845
Business Location
6535 N CHARLES STREET
SUITE 325
BALTIMORE MD, 21204-5824, US
Phone (410) 321-9701
Fax (410) 321-0845
Toxanomy
Taxonomy Code 207RC0000X
License State Maryland
License Number D0021398
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According to our database, G Robert Medalie MD NPI is 1083621676, taxonomy code is 207RC0000X and license number is D0021398, license state is located at Maryland. G Robert Medalie MD physically located at 6535 N Charles Street, Baltimore MD, 21204-5824. NPI Number G Robert Medalie MD has the Individual type.

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1083621676 NPI number is provided on an as is basis without warranty of any kind. 1083621676 is maintained by the National Plan & Provider Enumeration System. The contents of G Robert Medalie MD are for informational purposes only.