| Caost Guard Yard | |
|
2401 Hawkins Point Rd Curtis Bay MD 21226-1797 | |
| (410) 636-3183 | |
| (410) 636-7868 |
| Full Name | Caost Guard Yard |
|---|---|
| Speciality | Clinic/center |
| Location | 2401 Hawkins Point Rd, Curtis Bay, Maryland |
| Authorized Official Name and Position | Aaron E Fulcher (MEDICAL ADMINISTARTOR) |
| Authorized Official Contact | 4106363183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caost Guard Yard 2401 Hawkins Point Rd Curtis Bay MD 21226-1797 Ph: (410) 636-3183 | Caost Guard Yard 2401 Hawkins Point Rd Curtis Bay MD 21226-1797 Ph: (410) 636-3183 |
| NPI Number | 1477635019 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477635019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |