Obstetrical And Gynecological Assoc Of The University Of Maryland PA
Clinical Medical Laboratory in Baltimore, MD. Organization (NPI-2).
NPI number1720163876
StatusActive
Last updated in NPPESAug 4, 2008
Details
- NPI
- 1720163876
- Entity type
- Organization (NPI-2)
- Legal business name
- Obstetrical And Gynecological Assoc Of The University Of Maryland PA
- Organization subpart
- No
- Enumeration date
- Oct 26, 2006
- Last updated
- Aug 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | AFP 723 | MD | Yes |
| 291U00000X | Clinical Medical Laboratory | 723 | MD |
Other names
- Academic Dept (Other Name)
Practice location
419 W Redwood StSuite 500
Baltimore, MD 21201-1751
Phone 410-320-6640 · Fax 410-328-3379
Mailing address
110 South Paca StSuite 6n300
Baltimore, MD 21201-1751
Phone 410-328-0253 · Fax 410-328-3379
Authorized official
Rick Eugene Brinegar
Director Prfoessional Fees
4103280353
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