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Organization
PINNACLE DIABETES MANAGEMENT LLC
Active
Organization
PINNACLE DIABETES MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN AARON KOTLER MS, RD, CDE (PROGRAM MANAGER)
(410) 409-6992
Entity
Organization
Contact information
Practice address
867 E LOMBARD ST, BALTIMORE, MD 21202-4510
(410) 409-6992
(866) 538-6990
Mailing address
867 E LOMBARD ST, BALTIMORE, MD 21202-4510
(410) 409-6992
(866) 538-6990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX2666
MD
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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