institution
State Of Marlyand
Multi-Specialty Clinic/Center in Baltimore, Maryland
NPI 1538286174

State Of Marlyand is a Multi-Specialty Clinic/Center based in Baltimore, MD and is specialized in Multi-Specialty. State Of Marlyand practices in Baltimore, MD. The NPI Number for State Of Marlyand is 1538286174 and holds a License No. (Maryland).

The current practice location address for State Of Marlyand is 1000 Hilltop Cir, Baltimore, MD and can be reached out via phone at 410-455-2543 and via fax at 410-455-1125.

Location: 1000 Hilltop Cir, Baltimore, MD, 21250-0001
institution
Provider Profile Details
NPI Number
1538286174
Provider Name
State Of Marlyand
Credential
Provider Entity Type
Organization
Address
1000 Hilltop Cir, Baltimore, MD, 21250-0001
Phone Number
410-455-2543
Fax Number
410-455-1125
Provider Enumeration Date
03/26/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083837 01 MD AETNA HMO PROVIDER
7719711 01 MD AETNA INDEMNITY PROVIDER
54256405 01 MD BCBS RENDERING PROVIDER
9571898 01 MD CIGNA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1000 Hilltop Cir
City
State
Zip
21250-0001
Phone Number
410-455-2543
Fax Number
410-455-1125
person
Provider Business Mailing Address Details
Address
1000 Hilltop Cir
City
State
Zip
21250-0001
Phone Number
410-455-2543
Fax Number
410-455-1125
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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