Caost Guard Yard
NPI #1477635019 in Curtis Bay, Maryland
Provider Information
- NPI Number
- 1477635019
- Entity Type
- Organization
- Organization Name
- Caost Guard Yard
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2401 HAWKINS POINT RD
- City
- Curtis Bay
- State
- Maryland
- ZIP Code
- 21226-1797
- Phone
- (410) 636-3183
Authorized Official
- Name
- MR. AARON E FULCHER
- Title
- MEDICAL ADMINISTARTOR
- Phone
- (410) 636-3183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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