Baltimore County Maryland

NPI 1053681130 - Clinic/Center - 261QS1000X

NPI Details
NPI 1053681130
Enumeration Date 01/06/2012
Last Updated 04/22/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAVID C DAVID
Position PRIVACY OFFICER
Phone (410) 887-4130
Fax (410) 666-8748
Practice Location
2717 PLAYFIELD ST
BALTIMORE MD, 21222-4500, US
Phone (410) 887-4130
Fax (410) 666-8748
Business Location
6401 YORK RD
3RD FLOOR
BALTIMORE MD, 21212-2152, US
Phone (410) 887-2077
Fax (410) 377-9646
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, Baltimore County Maryland NPI is 1053681130, taxonomy code is 261QS1000X Baltimore County Maryland physically located at 2717 Playfield St, Baltimore MD, 21222-4500. NPI Number 1033115704 has the healthcare provider type.

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1053681130 NPI number is provided on an as is basis without warranty of any kind. 1053681130 is maintained by the National Plan & Provider Enumeration System. The contents of Baltimore County Maryland are for informational purposes only.