| Gunpowder River Psychiatry Llc | |
|
626 Towne Center Dr Suite 202 Joppa MD 21085-4446 | |
| (410) 679-0012 | |
| Not Available |
| Full Name | Gunpowder River Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 626 Towne Center Dr, Joppa, Maryland |
| Authorized Official Name and Position | John M. Firth (BILLING) |
| Authorized Official Contact | 4106790012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gunpowder River Psychiatry Llc 626 Towne Center Dr Suite 202 Joppa MD 21085-4446 Ph: (410) 679-0012 | Gunpowder River Psychiatry Llc 626 Towne Center Dr Suite 202 Joppa MD 21085-4446 Ph: (410) 679-0012 |
| NPI Number | 1831323534 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 04/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831323534 | NPI | - | NPPES |
| CBN2PA | Other | MD | CAREFIRST |
| U642 0001 | Other | DC | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D39836 (Maryland) | Primary |
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