| Baltimore Ketamine Clinic Eastern Shore | |
|
2324 N Zion Rd Ste 113 Salisbury MD 21801-2576 | |
| (410) 870-5482 | |
| (410) 628-1212 |
| Full Name | Baltimore Ketamine Clinic Eastern Shore |
|---|---|
| Speciality | Clinic/center |
| Location | 2324 N Zion Rd Ste 113, Salisbury, Maryland |
| Authorized Official Name and Position | Ivana Mitic (OWNER) |
| Authorized Official Contact | 7134123462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore Ketamine Clinic Eastern Shore 2324 N Zion Rd Ste 113 Salisbury MD 21801-2576 Ph: (410) 870-5482 | Baltimore Ketamine Clinic Eastern Shore 2324 N Zion Rd Ste 113 Salisbury MD 21801-2576 Ph: (410) 870-5482 |
| NPI Number | 1366171720 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366171720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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