# MICHAEL J MININSOHN, MD, PA

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

## Provider details

- **NPI number:** 1386746790
- **Authorized official:** DR. MICHAEL JOSEPH MININSOHN M.D. (PRESIDENT)
- **Authorized official phone:** (410) 661-4060

## Contact information

- **Practice address:** 8813 WALTHAM WOODS RD, SUITE 104, BALTIMORE, MD 21234-2450
- **Practice address phone:** (410) 661-4060
- **Practice address fax:** (410) 661-5349
- **Mailing address:** 8813 WALTHAM WOODS RD, SUITE 104, BALTIMORE, MD 21234
- **Mailing address phone:** (410) 661-4060
- **Mailing address fax:** (410) 661-5349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 08/22/2020