# W SCOTT SUPPLEE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336328137
- **Authorized official:** DR. W SCOTT SUPPLEE MD PA (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (410) 821-7676

## Contact information

- **Practice address:** 6569 N CHARLES ST, STE 610, BALTIMORE, MD 21204-6831
- **Practice address phone:** (410) 821-7676
- **Practice address fax:** (410) 825-7205
- **Mailing address:** 6569 N CHARLES ST, STE 610, BALTIMORE, MD 21204-6831
- **Mailing address phone:** (410) 821-7676
- **Mailing address fax:** (410) 825-7205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D38840 | MD | Yes |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 06/02/2014