Wye Oak Clinic, Inc.

NPI #1174913677 in Halethorpe, Maryland

Provider Information

NPI Number: 1174913677
Entity Type: Organization
Organization Name: Wye Oak Clinic, Inc.
Primary Specialty: General Practice
Enumeration Date: Feb 4, 2015
Last Updated: Feb 4, 2015

Practice Location

Address: 1937 LANSDOWNE RD
City: Halethorpe
State: Maryland
ZIP Code: 21227
Phone: (410) 536-0555

Authorized Official

Name: MR. DAVID ALAN CLINE III
Title: PRESIDENT
Phone: (443) 509-3860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
General Practice	208D00000X	Primary

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