institution
Dca Of North Baltimore Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, Maryland
NPI 1972566479

Dca Of North Baltimore Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jonesboro, MD and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dca Of North Baltimore Llc practices in Baltimore, MD. The NPI Number for Dca Of North Baltimore Llc is 1972566479 and holds a License No. (Maryland).

The current practice location address for Dca Of North Baltimore Llc is 2700 N Charles St, Baltimore, MD and can be reached out via phone at 410-467-8236 and via fax at 410-467-8385. You can also correspond with Dca Of North Baltimore Llc through the mailing address at PO BOX 19119, JONESBORO, AR - 72403-6601 (mailing address contact number: 870-931-5400).

Location: 2700 N Charles St, Baltimore, MD, 72403-6601
institution
Provider Profile Details
NPI Number
1972566479
Provider Name
Dca Of North Baltimore Llc
Credential
Provider Entity Type
Organization
Address
2700 N Charles St, Baltimore, MD, 72403-6601
Phone Number
410-467-8236
Fax Number
410-467-8385
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
411121400 05 MD
11RX 01 MD CAREFIRST BCBS
88579401 01 MD CAREFIRST BLUELINE
institution
Provider Business Practice Location Address Details
Address
2700 N Charles St
City
State
Zip
21218-4300
Phone Number
410-467-8236
Fax Number
410-467-8385
person
Provider Business Mailing Address Details
Address
2700 N Charles St
City
State
Zip
21218-4300
Phone Number
410-467-8236
Fax Number
410-467-8385
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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