University of Maryland Baltimore

NPI #1336515519 in Hyattsville, Maryland

Provider Information

NPI Number
1336515519
Entity Type
Organization
Organization Name
University of Maryland Baltimore
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 11, 2015
Last Updated
Aug 11, 2015

Practice Location

Address
8011 NEW HAMPSHIRE AVE
Address 2
MOBILE UNIT
ZIP Code
20783-4612
Phone
(866) 228-9668

Authorized Official

Name
MS. SUSAN MARIE ANTOL, MS, RN
Title
PROGRAM DIRECTOR
Phone
(410) 706-5395

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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