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Organization
UNIVERSITY OF MARYLAND BALTIMORE
Active
Organization
UNIVERSITY OF MARYLAND BALTIMORE
Active
Other names
Governor's Wellmobile Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIE ANTOL MS, RN (PROGRAM DIRECTOR)
(410) 706-5395
Entity
Organization
Contact information
Practice address
8011 NEW HAMPSHIRE AVE, MOBILE UNIT, HYATTSVILLE, MD 20783-4612
(866) 228-9668
(410) 706-5145
Mailing address
655 W LOMBARD ST, SUITE 425B, BALTIMORE, MD 21201-1512
(410) 706-5395
(410) 706-0140
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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