| Autumn Lake Healthcare at Crofton | |
|
2131 Davidsonville Rd Crofton MD 21114-1632 | |
| (410) 721-1000 | |
| Not Available |
| Full Name | Autumn Lake Healthcare at Crofton |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 2131 Davidsonville Rd, Crofton, Maryland |
| Authorized Official Name and Position | Kamal Salah H Sewaralthahab (OWNER) |
| Authorized Official Contact | 4433250031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Lake Healthcare at Crofton 1205 York Rd Ste 11 Timonium MD 21093-6211 | Autumn Lake Healthcare at Crofton 2131 Davidsonville Rd Crofton MD 21114-1632 Ph: (410) 721-1000 |
| NPI Number | 1922966530 |
|---|---|
| Provider Enumeration Date | 01/13/2026 |
| Last Update Date | 01/13/2026 |
| Certification Date | 01/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922966530 | NPI | - | NPPES |
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