NPI 1083456057

Marco Brewer

Practitioner Peer Specialist Baltimore, MD

Practice location

Address: 3310 Eastern Ave, Baltimore, MD 21224-4108
Phone: (443) 708-5056

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence PR0961 (MD)

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Registry record

NPI: 1083456057
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2024
Record last updated: 11 Jun 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.