Victabol Healthcare

Specialty details in registry · Baltimore, MD

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At a glance

4812 Liberty Heights Ave, Baltimore, MD 21207-7156

NPPES record updated Jul 9, 2014. Public records can lag behind changes at a practice.

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Practice location

4812 Liberty Heights Ave
Baltimore, MD 21207-7156

Professional details: NPI, taxonomy & registry record

NPI1730595836

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251E00000X
Enumeration date: Jul 9, 2014
Record updated: Jul 9, 2014

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License reported: R3543P MD

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4812 Liberty Heights Ave
Baltimore, MD 21207-7156

Phone: (410) 988-0758
Fax: (443) 220-0029

Mailing address

3202 GREENMEAD RD

WINDSOR MILL, MD 212441134

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete.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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