Michael Gerard Mccusker JR. M.D.

NPI 1043605975 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1043605975
Gender Male
Enumeration Date 03/30/2015
Last Updated 03/30/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
22 S GREENE ST
RM N3E09
BALTIMORE MD, 21201-1544, US
Phone (410) 328-6110
Fax
Business Location
22 S GREENE ST
RM N3E09
BALTIMORE MD, 21201-1544, US
Phone (410) 328-6110
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Michael Gerard Mccusker JR. M.D. NPI is 1043605975, taxonomy code is 390200000X Michael Gerard Mccusker JR. M.D. physically located at 22 S Greene St, Baltimore MD, 21201-1544. NPI Number Michael Gerard Mccusker JR. M.D. has the Individual type.

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1043605975 NPI number is provided on an as is basis without warranty of any kind. 1043605975 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Gerard Mccusker JR. M.D. are for informational purposes only.