NPI 1184159196

Bluezone Healthcare, LLC

Organisation Prevention Professional Baltimore, MD

Practice location

Address: 405 N Paca St, Baltimore, MD 21201
Phone: (410) 779-9609
Fax: (443) 552-4758
Mailing address: 405 N Paca St, Baltimore, MD 21201-1815

Authorised official

Name: Zacharias Vasilios Mavrophilipos
Title: Member
Phone: (410) 779-9609

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence D0050622 (MD)

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Registry record

NPI: 1184159196
Entity type: Organization
NPI issued: 27 Apr 2017
Record last updated: 27 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.