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Specialty details in registry · Havre De Grace, MD
At a glance
1106 Revolution St, Havre De Grace, MD 21078-3721
NPPES record updated Oct 30, 2023. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1106 Revolution StHavre De Grace, MD 21078-3721
Additional reported practice locations
3030 Grafton LnChurchville, MD 21028
Phone: 4107764640
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103K00000X
- Enumeration date
- Mar 1, 2018
- Record updated
- Oct 30, 2023
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103K00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1106 Revolution StHavre De Grace, MD 21078-3721
- Phone
- (443) 206-8669
Mailing address
1106 REVOLUTION STHAVRE DE GRACE, MD 210783721
Information may be outdated or incomplete.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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