# MARYLAND HEALTHCARE CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARYLAND HEALTHCARE CLINICS
- **Other names:** MARYLAND HEALTHCARE CLINICS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063687044
- **Legal business name:** MARYLAND HEALTHCARE CLINICS
- **Authorized official:** MR. ROMAN BALAKIRSKY (VICE PRESIDENT)
- **Authorized official phone:** (410) 358-3200

## Contact information

- **Practice address:** 2459 FREDERICK AVE, BALTIMORE, MD 21223-2856
- **Practice address phone:** (410) 945-6018
- **Practice address fax:** (410) 945-4076
- **Mailing address:** 6615 REISTERSTOWN RD, FIRST FLOOR, BALTIMORE, MD 21215-2686
- **Mailing address phone:** (410) 318-6253
- **Mailing address fax:** (410) 358-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 04/29/2008