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Organization
UNIVERSITY OF MARYLAND MEDICAL CENTER
Active
Organization
UNIVERSITY OF MARYLAND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANA CANNON MCINTOSH MD (PAIN MEDICINE FELLOW)
(917) 796-9584
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(917) 796-9584
Mailing address
13909 GLENLIVET GRV, LAUREL, MD 20707-6912
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD444693
PA
282N00000X
General Acute Care Hospital
MTI91355
PA
Other
Enumeration date
01/10/2008
Last updated
08/27/2012
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