# MEDSTAR PHYSICIAN PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063456549
- **Authorized official:** DR. PATRICIA RABELLO FREIRE AYRES MD (INTERNAL MEDIACL DOCTOR)
- **Authorized official phone:** (410) 686-9019

## Contact information

- **Practice address:** 107 BEACON RD, BALTIMORE, MD 21220-3504
- **Practice address phone:** (410) 686-9019
- **Practice address fax:** (410) 687-1975
- **Mailing address:** 107 BEACON RD, BALTIMORE, MD 21220-3504
- **Mailing address phone:** (410) 686-9019
- **Mailing address fax:** (410) 687-1975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/22/2020
