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William New

Student in an Organized Health Care Education/Training Program in Baltimore, MD. Individual provider (NPI-1).

NPI number1154123750
StatusActive
Last updated in NPPESMar 25, 2025

Details

NPI
1154123750
Entity type
Individual (NPI-1)
Name
William New
Sex
Male
Sole proprietor
No
Enumeration date
Mar 25, 2025
Certification date
Mar 25, 2025
Last updated
Mar 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

29 S Paca St
Baltimore, MD 21201-1771

Phone 667-214-1876

Mailing address

29 S Paca St
Baltimore, MD 21201-1771

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