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Organization
DRS HICKEN CRANLEY TAYLOR PA
Active
Organization
DRS HICKEN CRANLEY TAYLOR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN HANSEN M.D. (AUTHORIZED OFFICIAL)
(410) 644-4379
Entity
Organization
Contact information
Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(410) 644-4320
Mailing address
2360 W JOPPA RD STE 224, LUTHERVILLE, MD 21093-4664
(410) 644-4320
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440471800
—
MD
01
—
CH0003
RAILROAD MEDICARE
MD
01
—
KF67H1
BLUE SHIELD
MD
01
—
W227
GHI
DC
Enumeration date
10/16/2006
Last updated
11/06/2024
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