| Baltimore County Maryland | |
|
2717 Playfield St Baltimore MD 21222-4500 | |
| (410) 887-4130 | |
| (410) 666-8748 |
| Full Name | Baltimore County Maryland |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2717 Playfield St, Baltimore, Maryland |
| Authorized Official Name and Position | David C Taylor (PRIVACY OFFICER) |
| Authorized Official Contact | 4108872077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore County Maryland 6401 York Rd 3rd Floor Baltimore MD 21212-2152 Ph: (410) 887-2077 | Baltimore County Maryland 2717 Playfield St Baltimore MD 21222-4500 Ph: (410) 887-4130 |
| NPI Number | 1053681130 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053681130 | NPI | - | NPPES |
| 420953200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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