Guardian Therapeutic Center

NPI 1093109951 - Clinic/Center - 261QR0401X

NPI Details
NPI 1093109951
Enumeration Date 03/27/2015
Last Updated 03/27/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GEORGE GEORGE
Position ADMINISTRATOR
Phone (410) 394-9696
Fax (443) 552-3748
Practice Location
3350 WILKENS AVE
SUITE-302
BALTIMORE MD, 21229-4600, US
Phone (410) 394-9696
Fax (443) 552-3748
Business Location
3350 WILKENS AVE
SUITE-302
BALTIMORE MD, 21229-4600, US
Phone (410) 394-9696
Fax (443) 552-3748
Toxanomy
Taxonomy Code 261QR0401X
License State Maryland
License Number MH-1549
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According to our database, Guardian Therapeutic Center NPI is 1093109951, taxonomy code is 261QR0401X and license number is MH-1549, license state is located at Maryland. Guardian Therapeutic Center physically located at 3350 Wilkens Ave, Baltimore MD, 21229-4600. NPI Number 1033115704 has the healthcare provider type.

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1093109951 NPI number is provided on an as is basis without warranty of any kind. 1093109951 is maintained by the National Plan & Provider Enumeration System. The contents of Guardian Therapeutic Center are for informational purposes only.