White Marsh Healthcare Physical Medicine,llc

NPI #1376990200 in White Marsh, Maryland

Provider Information

NPI Number
1376990200
Entity Type
Organization
Organization Name
White Marsh Healthcare Physical Medicine,llc
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 20, 2016
Last Updated
May 20, 2016

Practice Location

Address
5430 CAMPBELL BLVD
Address 2
SUITE 106
ZIP Code
21162-5500
Phone
(443) 725-4930

Authorized Official

Name
TIMOTHY GOBER
Title
OWNER/PROVIDER
Phone
(443) 725-4930

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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