institution
University Of Md Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, Maryland
NPI 1174669816

University Of Md Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Lutherville, MD and is specialized in End-Stage Renal Disease (ESRD) Treatment. University Of Md Dialysis practices in Baltimore, MD. The NPI Number for University Of Md Dialysis is 1174669816 and holds a License No. 30068 (Maryland).

The current practice location address for University Of Md Dialysis is 22 S Greene Street, Baltimore, MD and can be reached out via phone at 410-328-8667 and via fax at 410-821-4189.

Location: 22 S Greene Street, Baltimore, MD, 21093
institution
Provider Profile Details
NPI Number
1174669816
Provider Name
University Of Md Dialysis
Credential
Provider Entity Type
Organization
Address
22 S Greene Street, Baltimore, MD, 21093
Phone Number
410-328-8667
Fax Number
410-821-4189
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
218212 01 MD ALLIANCE PPO
57710801 01 MD BC MAGELLAN
57710801 01 MD BC OF MARYLAND
57710801 01 MD BC NASCO
MC6 01 MD BC FEDERAL PROGRAM
MC6 01 MD BLUE CHOICE BLUE PREFERRE
57710801 01 MD BC OUT OF STATE
MC6 01 MD BCBS CAPITAL CARE
institution
Provider Business Practice Location Address Details
Address
22 S Greene Street
City
State
Zip
21201
Phone Number
410-328-8667
Fax Number
410-821-4189
person
Provider Business Mailing Address Details
Address
22 S Greene Street
City
State
Zip
21201
Phone Number
410-328-8667
Fax Number
410-821-4189
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
30068 (Maryland)
Definition
Definition to come...
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