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Organization
ATLANTIC NEURODIAGNOSTICS LLC
Active
Organization
ATLANTIC NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED WOODS (BILLING MANAGER)
(301) 714-1802
Entity
Organization
Contact information
Practice address
1512 KING WILLIAM DR, BALTIMORE, MD 21228-1001
(443) 351-7879
Mailing address
PO BOX 1610, FORT MEADE, MD 20755-3610
(443) 351-7879
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
NULL
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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