White Marsh Healthcare & Physical Medicine,llc
NPI #1942674163 in White Marsh, Maryland
Provider Information
- NPI Number
- 1942674163
- Entity Type
- Organization
- Organization Name
- White Marsh Healthcare & Physical Medicine,llc
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 27, 2015
- Last Updated
- May 9, 2016
Practice Location
- Address
- 5430 CAMPBELL BLVD
- Address 2
- STE 106
- City
- White Marsh
- State
- Maryland
- ZIP Code
- 21162-5500
- Phone
- (443) 725-4930
Authorized Official
- Name
- DR. TIMOTHY GOBER, D.C.
- Title
- PROVIDER/OWNER
- Phone
- (443) 725-4930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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