White Marsh Healthcare Physical Medicine Llc

NPI 1063722700 - Chiropractor - 111N00000X

NPI Details
NPI 1063722700
Enumeration Date 10/15/2010
Last Updated 08/10/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TIMOTHY TIMOTHY
Position OWNER
Phone (443) 600-5807
Fax (443) 725-4933
Practice Location
5430 CAMPBELL BLVD.
STE. 106
WHITE MARSH MD, 21162, US
Phone (443) 600-5807
Fax (443) 725-4933
Business Location
5430 CAMPBELL BLVD.
STE. 106
WHITE MARSH MD, 21162, US
Phone (443) 725-4930
Fax (443) 725-4933
Toxanomy
Taxonomy Code 111N00000X
License State Maryland
License Number 03606
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According to our database, White Marsh Healthcare Physical Medicine Llc NPI is 1063722700, taxonomy code is 111N00000X and license number is 03606, license state is located at Maryland. White Marsh Healthcare Physical Medicine Llc physically located at 5430 Campbell Blvd., White Marsh MD, 21162. NPI Number 1033115704 has the healthcare provider type.

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1063722700 NPI number is provided on an as is basis without warranty of any kind. 1063722700 is maintained by the National Plan & Provider Enumeration System. The contents of White Marsh Healthcare Physical Medicine Llc are for informational purposes only.