NPI 1982974069
Baltimore County Maryland
Practice location
- Address
- 201 Back River Neck Rd, Essex, MD 21221-3949
- Phone
- (410) 887-0246
- Fax
- (410) 377-9646
- Mailing address
- 6401 York Rd 3rd Floor, Baltimore, MD 21212-2152
Authorised official
- Name
- Tonia P Ross
- Title
- Billing Manager
- Phone
- (410) 887-2437
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1982974069
- Entity type
- Organization
- NPI issued
- 6 Jan 2012
- Record last updated
- 20 Sep 2024
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.