St Agnes Healthcare

NPI 1164452181 - Family Medicine - 207Q00000X

NPI Details
NPI 1164452181
Enumeration Date 07/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BONNIE LAMDIN BONNIE
Position CEO
Phone (410) 368-8750
Fax (410) 368-8751
Practice Location
700 GEIPE RD
CATONSVILLE MD, 21228-4147, US
Phone (410) 368-8750
Fax (410) 368-8751
Business Location
PO BOX 21182
BALTIMORE MD, 21228-0682, US
Phone (410) 368-8640
Fax (410) 368-8644
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, St Agnes Healthcare NPI is 1164452181, taxonomy code is 207Q00000X St Agnes Healthcare physically located at 700 Geipe Rd, Catonsville MD, 21228-4147. NPI Number 1033115704 has the healthcare provider type.

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1164452181 NPI number is provided on an as is basis without warranty of any kind. 1164452181 is maintained by the National Plan & Provider Enumeration System. The contents of St Agnes Healthcare are for informational purposes only.