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Organization
PRIMARY CARE AT HOME OF MARYLAND, LLC
Active
Organization
PRIMARY CARE AT HOME OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
4701 MOUNT HOPE DR, SUITE A, BALTIMORE, MD 21215-3246
(337) 233-1307
(337) 233-5764
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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