King David At Autumn Lake Llc
Specialty details in registry · Baltimore, MD
At a glance
4204 Old Milford Mill Rd, Baltimore, MD 21208-6031
NPPES record updated Dec 6, 2016. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
4204 Old Milford Mill RdBaltimore, MD 21208-6031
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 314000000X
- Enumeration date
- Dec 6, 2016
- Record updated
- Dec 6, 2016
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
314000000X · Primary
License reported: 03024 MD
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4204 Old Milford Mill RdBaltimore, MD 21208-6031
- Phone
- (410) 486-1500
Mailing address
4204 OLD MILFORD MILL RDBALTIMORE, MD 212086031
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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